Author Question: The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the ... (Read 25 times)

drink · **on:** Jun 25, 2018

The nurse is reviewing an assessment of a patient's peripheral pulses and notices that the documentation states that the radial pulses are 2+. The nurse recognizes that this reading indicates what type of pulse?

a. Bounding
b. Normal
c. Weak
d. Absent

Question 2

During a routine office visit, a patient takes off his shoes and shows the nurse this awful sore that won't heal. On inspection, the nurse notes a 3-cm round ulcer on the left great toe, with a pale ischemic base,

well-defined edges, and no drainage. The nurse should assess for other signs and symptoms of:
a.
Varicosities.
b.
Venous stasis ulcer.
c.
Arterial ischemic ulcer.
d.
Deep-vein thrombophlebitis.

Dunkey · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
When documenting the force, or amplitude, of pulses, 3+ indicates an increased, full, or bounding pulse, 2+ indicates a normal pulse, 1+ indicates a weak pulse, and 0 indicates an absent pulse.

Answer to Question 2

ANS: C
Arterial ischemic ulcers occur at the toes, metatarsal heads, heels, and lateral ankle and are characterized by a pale ischemic base, well-defined edges, and no bleeding. (See Table 20-5 for a description of varicose veins and deep-vein thrombophlebitis. See Table 20-4 for a description of venous stasis ulcers.)