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Author Question: During an assessment, a patient tells the nurse that her fingers often change color when she goes ... (Read 29 times)

Kthamas

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During an assessment, a patient tells the nurse that her fingers often change color when she goes out in cold weather. She describes these episodes as her fingers first turning white,
 
  then blue, then red with a burning, throbbing pain. The nurse suspects that she is experiencing:
  a.
  Lymphedema.
  b.
  Raynaud disease.
  c.
  Deep-vein thrombosis.
  d.
  Chronic arterial insufficiency.

Question 2

The nurse is describing a weak, thready pulse on the documentation flow sheet. Which statement is correct?
 
  a. Is easily palpable; pounds under the fingertips.
  b. Has greater than normal force, then suddenly collapses.
  c. Is hard to palpate, may fade in and out, and is easily obliterated by pressure.
  d. Rhythm is regular, but force varies with alternating beats of large and small amplitude.



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debra928

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Answer to Question 1

ANS: B
The condition with episodes of abrupt, progressive tricolor changes of the fingers in response to cold, vibration, or stress is known as Raynaud disease.

Answer to Question 2

ANS: C
A weak, thready pulse is hard to palpate, may fade in and out, and is easily obliterated by pressure. It is associated with decreased cardiac output and peripheral arterial disease.





 

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