The nurse is caring for a client who may have an arterial ...

[beccaep]

The nurse is caring for a client who may have an arterial obstruction in her right ulnar artery. Which test may be used to help determine the patency of this artery?
 
  1. Trendelenburg test.
  2. Manual compression test.
  3. Homan sign.
  4. Allen test.

Question 2

The nurse is performing the assessment of an older adult client recently diagnosed with arterial insufficiency due to atherosclerosis. Which assessment data does the nurse expect when examining this client? Select all that apply.
 
  1. Bilateral pitting edema 3+ in ankles and feet.
  2. Carotid bruit present.
  3. Blood pressure 180/94.
  4. Peripheral pulses 1+/4+ in dorsalis pedis bilaterally.
  5. A pea-sized ulcer noted on the client's right great toe, no drainage, well-defined edges.

[mcarey591]

Answer to Question 1

Correct Answer: 4
The Allen test is used to evaluate the patency of both the radial and ulnar arteries. The Trendelenberg test can be used to evaluate valve competence in the presence of varicosities. If varicose veins are present, the nurse can determine the length of the varicose vein and the competency of its valves with the manual compression test. The test to elicit a Homan sign can be used to help determine if the client has a thrombosis.

Answer to Question 2

Correct Answer: 2, 3, 4, 5
A narrowing of the carotid artery, as occurs with atherosclerosis, will result in turbulent blood flow. This causes the swishing sound known as a bruit. Clients with atherosclerosis and arterial insufficiency may have hypertension. Atherosclerosis and arterial insufficiency may result in decreased peripheral pulses. The client with arterial insufficiency may develop ulcers such as this one. Bilateral pitting edema is most often attributed to right-sided heart failure.

[beccaep]

Excellent

[jamesnevil303]

TYSM