The client is visiting the healthcare provider's office with ...

[tth]

The client is visiting the healthcare provider's office with complaints of discoloration of her hands. The client states, My fingertips turn whitish and then later they get really red.
 
  Which disorder does the nurse anticipate the client will be diagnosed with based on this data?
  1. Lymphedema.
  2. Raynaud disease.
  3. Thrombosis.
  4. Venous insufficiency.

Question 2

The nurse is assessing a client who may have arterial insufficiency in the left lower leg. Which assessment findings support the diagnosis of arterial insufficiency? Select all that apply.
 
  1. Left dorsalis pedis pulse +1, right dorsalis pedis pulse +3.
  2. Skin is cool, tight, and shiny.
  3. When left leg is dependent, erythema is present.
  4. When left leg is elevated, pallor is present.
  5. Client complains of increased pain during rest periods.

[jamesnevil303]

Answer to Question 1

Correct Answer: 2
The findings described are consistent with Raynaud disease, in which the arterioles in the fingers develop spasms, causing intermittent skin pallor or cyanosis, then redness. This condition is most commonly seen in young females. Lymphedema is often described as edema that occurs in an affected extremity that is not draining lymph properly. Clients with clots may have no symptoms at all or may experience pain. Venous insufficiency results in discomfort that is aggravated by prolonged standing or sitting and is relieved by rest. The client's complaints are not consistent with venous insufficiency.

Answer to Question 2

Correct Answer: 1, 2, 3, 4