Exam 20: Peripheral Vascular System and Lymphatic System

During a clinic visit,a woman in her seventh month of pregnancy complains that her legs feel "heavy in the calf" and that she often has foot cramps at night.The nurse notices that the patient has dilated,tortuous veins in her lower legs.Which condition is reflected by these findings?

During an assessment of an older adult,the nurse should expect to notice which finding as a normal physiologic change associated with the aging process?

The nurse is performing a well-child check on a 5-year-old boy.He has no current history that would lead the nurse to suspect illness.His medical history is unremarkable,and he received immunizations 1 week ago.Which of these findings should be considered normal in this situation?

A patient has been admitted with chronic arterial symptoms.During the assessment,the nurse should expect which findings? Select all that apply.

A patient has been diagnosed with venous stasis.Which of these findings would the nurse most likely observe?

The nurse is preparing to assess the dorsalis pedis artery.Where is the correct location for palpation?

A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes.The nurse recognizes that this description is most consistent with _________ the left leg.

When assessing a patient's pulse,the nurse notes that the amplitude is weaker during inspiration and stronger during expiration.When the nurse measures the blood pressure,the reading decreases 20 mm Hg during inspiration and increases with expiration.This patient is experiencing pulsus:

A patient has hard,nonpitting edema of the left lower leg and ankle.The right leg has no edema.Based on these findings,the nurse recalls that:

The nurse is reviewing risk factors for venous disease.Which of these situations best describes a person at highest risk for development of venous disease?

During an assessment,the nurse notices that a patient's left arm is swollen from the shoulder down to the fingers,with nonpitting brawny edema.The right arm is normal.The patient had a left-sided mastectomy 1 year ago.The nurse suspects which problem?

A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment.This pain is relieved by sitting for about 2 minutes;then he is able to resume his activities.The nurse interprets that this patient is most likely experiencing:

The nurse is preparing to assess the ankle-brachial index (ABI)of a patient.Which statement about the ABI is true?

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:

During an assessment,the nurse uses the "profile sign" to detect:

A 35-year-old man is seen in the clinic for an infection in his left foot.Which of these findings should the nurse expect to see during an assessment of this patient?

The nurse is performing an assessment on an adult.The adult's vital signs are normal and capillary refill time is 5 seconds.What should the nurse do next?

The nurse is preparing to perform a manual compression test on a patient.Which of these statements is true about this procedure?

The nurse is performing a peripheral vascular assessment on a bedridden patient and notices the following findings in the right leg: increased warmth,swelling,redness,tenderness to palpation,and a positive Homan's sign.The nurse should:

During a routine office visit,a patient takes off his shoes and shows the nurse "this awful sore that won't heal." On inspection,the nurse notes a 3-cm round ulcer on the left great toe,with a pale ischemic base,well-defined edges,and no drainage.The nurse should assess for other signs and symptoms of: