While performing the assessment of the client's peripheral ...

[viki]

While performing the assessment of the client's peripheral vascular system, the nurse notes that there was a rapid filling of superficial veins during the Trendelenburg test. This data is consistent with which disorder?
 
  1. Valve incompetence.
  2. Arterial insufficiency.
  3. Venous insufficiency.
  4. Phlebitis.

Question 2

A female client being examined by the nurse exhibits 2+ pitting edema in the right arm, while the left arm is normal in size. Which question by the nurse is the most appropriate based on this data?
 
  1. How much salt do you have in your diet?
  2. Does the other arm swell also?
  3. What surgical procedures have you had?
  4. Do you ever feel self-conscious about your arm?

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Answer to Question 1

Correct Answer: 1
This finding is consistent with valve incompetence that is associated with the development of varicose veins in the lower extremities. The Trendelenberg test does not test for arterial insufficiency. The findings are not consistent with venous insufficiency. The client with venous insufficiency will exhibit edema and a brownish discoloration in the lower extremities. Phlebitis is an inflammation of the vein. The Trendelenberg test is not used to determine if the client has phlebitis. The client with phlebitis will complain of tenderness along the affected area of the vein.

Answer to Question 2

Correct Answer: 3
This client most likely has lymphedema. Damage to or removal of lymph nodes can impact the ability of the lymph system to drain the arm adequately, so information about previous surgical procedures is the priority question. This information will help the nurse determine if the client has lymphedema due to a surgical procedure. If salt intake was excessive, the nurse would also find swelling in other extremities. Unilateral swelling indicates that there may be a problem with lymph drainage from the extremity. The client's feelings of being self-conscious are important for the nurse to consider, but are not the most important at this time. The nurse should seek to determine how the lymphedema developed.

[viki]

Thank you

[nothere]

Happy to help you