The nurse is assessing a newly admitted client for the presence ...

[s.tung]

The nurse is assessing a newly admitted client for the presence of impaired peripheral arterial circulation. Which finding would be significant to this condition?
 
  1. Ruddy skin color over legs
  2. Bounding pedal pulses
  3. Hot spots on the feet and legs
  4. Decreased hair on the legs

Question 2

The client has a history of recurrent transient ischemic attack (TIA). Based upon this history the nurse should be most concerned about the client's potential to develop
 
  1. renal failure.
  2. gangrene.
  3. myocardial infarction.
  4. stroke.

[sierramartinez]

Answer to Question 1

Correct Answer: 4
Rationale 1: The skin color of the legs is more likely to be pale.
Rationale 2: The pulses will be weak.
Rationale 3: The feet and legs will be cool to the touch.
Rationale 4: When peripheral arterial blood flow is reduced, the amount of oxygen to support hair growth is decreased and there is a reduction of hair distribution on the legs.

Answer to Question 2

Correct Answer: 4
Rationale 1: Renal failure would result from atherosclerotic changes in the renal artery.
Rationale 2: Gangrene may occur if atherosclerosis reduces blood flow to the extremities.
Rationale 3: Myocardial infarction results from atherosclerosis of the coronary arteries.
Rationale 4: Transient ischemic attacks may result from atherosclerosis of the cerebral vessels. Continued development of this atherosclerosis may result in stroke.

[s.tung]

Gracias!

[LegendaryAnswers]

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