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Identify if the client findings in the lower extremities are more likely to be found in a client with peripheral arterial disease or peripheral venous disease. Select one option in each row.     Peripheral Arterial Disease Peripheral Venous Disease Capillary refill     Pain     Skin color     Pedal pulses     Skin temperature     Edema

Identify if the client findings in the lower extremities are more likely to be found in a client with peripheral arterial disease or peripheral venous disease. Select one option in each row.     Peripheral Arterial Disease Peripheral Venous Disease Capillary refill     Pain     Skin color     Pedal pulses     Skin temperature     Edema

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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review the client’s health information in the chart attached in the image. Identify if the client findings in the lower extremities are more likely to be found in a client with peripheral arterial disease or peripheral venous disease. Select one option in each row.

 

 
Peripheral Arterial Disease
Peripheral Venous Disease
Capillary refill
    
Pain
    
Skin color
    
Pedal pulses
    
Skin temperature
    
Edema
    

 

NURSING ASSESSMENT & NOTES 5/24 Nursing Note: Client recently diagnosed and treated for unstable angina. Client 1005 reports struggling to lose weight in the past, so he has not kept to a consistent diet and exercise plan. Client states he gets fatigued quickly, so he is unsure how an exercise plan will work, especially after being in the hospital recently. Client arrived 5 minutes late to the scheduled appointment. Client stated, "it was a longer walk than I anticipated from the client drop-off area. I had to rush." 5/24 General Assessment: 55-year-old male, alert and in no acute distress. Client 1010 presents with clear, coherent speech. Symmetric facial features. Dress, demeanor, and verbal responses consistent with situation. Client lying on exam table at 45- degree angle. No involuntary movements. Centripetal fat distribution. Maintains eye contact. Reports intermittent, sharp pain in legs as 4/10. Client stated, "they hurt more when I was walking into the building." 5/24 Focused Assessment: 1015 Precordium: Inspection of chest reveals visible and slightly palpable pulsations present at the fifth intercostal space at the left midclavicular line spanning about 1 cm in diameter. S1 and S2 heart sounds auscultated with regular rate (98) and rhythm. No extra heart sounds. Denies any chest pain since leaving hospital a few weeks ago. Extremities: Skin pale, cool to touch. Capillary refill response is less than 3 seconds. +2 pulses bilaterally in all extremities except for +1 pedal pulses bilaterally. +1 pedal edema noted bilaterally. Client reports pain in the lower extremities is sharp, increases at night and when ambulating, but gets better when the client sits down in a chair. Small areas of ecchymosis on client's arms and legs. Client stated, "I have been bruising a lot more lately."
Transcribed Image Text:NURSING ASSESSMENT & NOTES 5/24 Nursing Note: Client recently diagnosed and treated for unstable angina. Client 1005 reports struggling to lose weight in the past, so he has not kept to a consistent diet and exercise plan. Client states he gets fatigued quickly, so he is unsure how an exercise plan will work, especially after being in the hospital recently. Client arrived 5 minutes late to the scheduled appointment. Client stated, "it was a longer walk than I anticipated from the client drop-off area. I had to rush." 5/24 General Assessment: 55-year-old male, alert and in no acute distress. Client 1010 presents with clear, coherent speech. Symmetric facial features. Dress, demeanor, and verbal responses consistent with situation. Client lying on exam table at 45- degree angle. No involuntary movements. Centripetal fat distribution. Maintains eye contact. Reports intermittent, sharp pain in legs as 4/10. Client stated, "they hurt more when I was walking into the building." 5/24 Focused Assessment: 1015 Precordium: Inspection of chest reveals visible and slightly palpable pulsations present at the fifth intercostal space at the left midclavicular line spanning about 1 cm in diameter. S1 and S2 heart sounds auscultated with regular rate (98) and rhythm. No extra heart sounds. Denies any chest pain since leaving hospital a few weeks ago. Extremities: Skin pale, cool to touch. Capillary refill response is less than 3 seconds. +2 pulses bilaterally in all extremities except for +1 pedal pulses bilaterally. +1 pedal edema noted bilaterally. Client reports pain in the lower extremities is sharp, increases at night and when ambulating, but gets better when the client sits down in a chair. Small areas of ecchymosis on client's arms and legs. Client stated, "I have been bruising a lot more lately."
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