Asked by Montserrat Montero-Salgado on May 09, 2024

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Which assessment findings show that the patient has a history of chronic arterial insufficiency in the legs?

A) The nurse must use a Doppler to find the patient's pedal pulses.
B) The patient has calf pain when the knee is flexed and foot pointed downward.
C) The patient's legs are cool to the touch and show no hair growth.
D) The patient has 3+ pitting pedal edema extending up to the knees.
E) The patient has tortuous varicose veins from the hip to the ankle.

Chronic Arterial Insufficiency

A condition resulting from inadequate blood flow to limbs, often leading to pain, ulcers, and potential limb loss.

Doppler

A diagnostic procedure using ultrasound waves to produce images of internal structures of the body or to measure the movement of substances within the body, such as blood flow.

Pitting Pedal Edema

Swelling in the lower legs and feet that leaves an indent when pressed, often due to heart failure or venous insufficiency.

  • Recognize and delineate the clinical manifestations and indicators of different medical disorders.
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TB
Tahmir BarksdaleMay 13, 2024
Final Answer :
A,C
Explanation :
The patient with a history of chronic lower extremity arterial insufficiency will have weak pedal pulses.The pulses may be so weak that the nurse may have to use a Doppler to find them.The legs will be cool to the touch and hairless due to the poor blood flow to the area.Calf pain when the knee is flexed and foot pointed downward is a positive Homans' sign that may indicate deep vein thrombosis.3+ pitting pedal edema may be due to lymphatic blockage or congestive heart failure.Tortuous varicose veins indicate chronic venous insufficiency.