Nokea
Which of the following findings are indicative of peripheral arterial insufficiency? Select all that apply.
- A. Throbbing, cramping pain that increases with exercise.
- B. Aching pain that increases with dependency.
- C. Capillary refill time of less than two seconds.
- D. Shiny skin with decreased hair.
- E. Brown pigment about the ankles and lower legs.
- F. Pale color on elevation and redness on dependency.
Correct Answer: A,D,F
Rationale: Peripheral arterial insufficiency causes throbbing pain with exercise (A), shiny skin with hair loss (D), and pale color on elevation with redness on dependency (F). Aching pain with dependency (B) and brown pigment (E) suggest venous insufficiency, and capillary refill <2 seconds (C) is normal.
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- B. Hold his breath and bear down
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- D. Sneeze on command
Correct Answer: B
Rationale: Holding breath and bearing down (Valsalva maneuver) prevents air entry into the pleural space during chest tube removal.
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- A. chicken breast, white rice, apple
- B. turkey sandwich on wheat bread, celery sticks, grapefruit
- C. egg salad, cooked carrots, strawberries
- D. baked salmon, spinach salad, banana
Correct Answer: D
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- B. Perform meticulous oral care every 2 hours
- C. Ensure that the incisional area is kept as dry as possible
- D. Assess the client frequently for pain
Correct Answer: A
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A client with cancer who is receiving chemotherapeutic drugs has been given injections of (pegfilgastrin) Neulasta. Which laboratory value reveals that the drug is producing the desired effect?
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- B. White blood cells count of 6,000/mm
- C. Platelet count of 300,000/mm
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- B. A client with rheumatic fever with a positive C reactive protein
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Correct Answer: C
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