Which assessment would lead the nurse to examine the

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32.Which assessment would lead the nurse to examine the leg closely for evidence of a stasis ulcer?a.Cool dry lower limbb.Edematous, red scaly skin on medial surface of the legc.Lack of hair and shiny appearance of the lower legd.Lack of a pedal pulseANS: BSuggestion of a stasis ulcer in the making is an edematous, dry scaly area on the medial surface of the lowerleg that has a darker pigmentation (rubor). Cool hairless limbs with absent or weak pedal pulses are indicativeof arterial insuciency.
PTS: 1 DIF: Cognitive Level: Application REF: Page 1582OBJ: 21 TOP: Medications KEY: Nursing Process Step: AssessmentMSC: NCLEX: Physiological Integrity33.What is the patient goal of the walking exercise program designed for the rehabilitation of a post-MIpatient?
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1563, Home CareOBJ:11TOP:Cardiac rehabKEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance34.The postsurgical patient has a painful and swollen right calf that appears to be larger than the calf of the leftleg. What is the nurse assessing for when she exes the patient’s right leg and dorsiexes the foot?
PTS: 1 DIF: Cognitive Level: Application REF: Page 1595OBJ: 21 TOP: DVT KEY: Nursing Process Step: AssessmentMSC: NCLEX: Physiological Integrity
35.How should the nurse advise a patient with an international normalized ratio (INR) of 5.8?
PTS: 1 DIF: Cognitive Level: Application REF: Page 1546OBJ:6TOP:Myocardial infarctionKEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

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