Question

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 extreme 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 together. b. Annular lesions that have grown together. c. Lesions arranged in a line along a nerve route. d. Lesions that are grouped or clustered together. 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? a. Color variation b. Border regularity c. Symmetry of lesions d. Diameter of less than 6 mm 23. A client is hospitalized for a right pneumothorax. The RN anticipates that on exam the trachea will be 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+ c. 3+ d. 4+ 5. The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter When documenting this finding, the nurse reports this as a a. Bulla. b. Wheal. c. Nodule. d. Papule.

Answer 1

20)

answer d) palpate pedal pulse bilateral

The pedal pulse palpation test was set to be positive for having peripheral arterial disease.

21)

answer:a)lesion that run together

Confluent skin lesion means joining or running together lesion.

22)

Answer:-b)colour variations

The mole contains varied shades of tan,briwn ,black,white,red,or blue.

23) answer b) shifted to left side

Increase in pressure such as pnemothorax the trachea will shift towards the opposite side.

24)answer c) 3+

0 indicate no palpable pulse

1 +indicate a faint but detectable pulse

2+indicate a slightly more diminished pulse

4+indicate bounding pulse

25) answer :- d) papule

A small,soild,elevated lesion less than 1 cm in diameter