An appropriate way for the nurse to measure a patient for ...

[LaDunn]

An appropriate way for the nurse to measure a patient for crutches is to:
 
  a. have a flexion of 45 degrees at both of the patient's elbows.
  b. have a space of two to three fingers between the top of the crutch and the axilla.
  c. place the crutch tips 1 foot to each side of the patient's feet, and observe the positioning of the crutches.
  d. place the crutch tips 1 foot to the front of the patient's feet, and observe the positioning of the crutches.

Question 2

An inspection of the lower extremities is being performed. The presence of arterial insufficiency is suspected when the nurse observes:
 
  A. Increased hair growth
  B. Cooler skin temperatures
  C. Marked edema
  D. Brown pigmentation

[gasdhashg]

Answer to Question 1

B
Following correct crutch adjustment, two to three fingers should fit between the top of the crutch and the axilla. Following correct crutch adjustment, elbows should be flexed 15 to 30 degrees. Elbow flexion is verified with a goniometer. Position the crutches with the crutch tips at 6 inches (15 cm) to the side and 6 inches in front of the patient's feet, and the crutch pads 2 inches (5 cm) below the axilla.

Answer to Question 2

B
B. In the presence of arterial insufficiency, the client has signs resulting from an absence of blood flow, such as pain, pallor, and decreased or absent pulses in the lower extremities. The lower extremities become dusky red when the extremities are lowered. They feel cool to touch because blood flow is blocked to the extremity.
A. Decreased hair growth or the absence of hair growth over the legs may indicate arterial insufficiency.
C. Marked edema is seen in venous insufficiency, not arterial insufficiency.
D. Brown pigmentation around the ankles is seen in venous insufficiency. Skin changes in arterial insufficiency include thin, shiny skin, decreased hair growth, and thickened nails.

[LaDunn]

Thank you!

[gasdhashg]

Always glad to help...