Question

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a. Posterior tibial b. Popliteal c. Femoral d. Dorsalis pedis 20. Which of the following should the nurse perform to assess the arterial function of the lower extremities? a. Allen's test b. Homan's sign c. Assess for pretibial edema d. Palpate pedal pulses bilaterally 21. The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find: a. Lesions that run togetheer. b. Annular lesions that have grown together. Lesions arranged in a line along a nerve route. d. Lesions that are grouped or clustered together. C. 22. A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed. When assessing his skin, the nurse pays special attention to the danger signs for pigmented lesions and is concerned with which additional finding? Color variation Border regularity c. Symmetry of lesions d. Diameter of less than 6 mm a. b. 23. A client is hospitalized for a right pneumothorax. The RN anticipates that on exam the trachea wi a. Shifted to the right b. Shifted to the left c. Midline d. Bulging 24. When assessing peripheral pulses, a nurse should document normal pulses as: a. 1+ b. 2+ с. 3+ d.4+ 25. The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 When documenting this finding, the nurse reports this as a a. Bulla Wheal c. Nodule. d. Papule b. 888808880

Answer 1

20. Answer is D. Palpate pedal pulses bilaterally

Palpating the pedal pulses bilaterally is used to assess the arterial blood supply to the lower extremities to know whether it is sufficient or not. Allen's test is used to find out the arterial blood supply in an upper extremity or evaluating arterial blood gases. Assessing the for pretibial edema is suitable for evaluating venous function of the lower extremity. Homans' sign is used to evaluate the possibility of deep vein thrombosis.

21. Answer is a. Lesions that runs together

Confluent lesions generally run together as in case of urticaria. Annular lesions are circular in nature.

22. Answer is a. Color variation

The danger signs of pigmented lesions are: asymmetry of pigmented lesion, border irregularity, color variation, and diameter greater than 6 mm.

24.Answer is c. 3+

3+ is normal pulse

25. Answer is d. Papule

A papule will be noticed by a nurse that has a solid, elevated, circumscribed lesion that is less than 1.