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A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess the posterior tibial pulse? (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Iliac

Femoral

Popliteal

Tibial

Answer and Explanation

The Correct Answer is D

A. The iliac pulse is located near the pelvis and is not used for assessing circulation in the lower extremities.

B. The femoral pulse is located in the upper thigh, not near the posterior tibial area.

C. The popliteal pulse is found at the back of the knee and is higher than the posterior tibial location.

D. The posterior tibial pulse is correctly located behind the medial malleolus on the inner side of the ankle. This location is where the posterior tibial artery is accessible and is commonly used to assess blood flow to the lower extremities.

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A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory alkalosis D. Respiratory acidosis

Correct Answer is C

Explanation

A. Metabolic alkalosis is characterized by a high pH and a high HCO3- level; this does not match the provided values.

B. Metabolic acidosis would show a low pH and a low HCO3-, which does not match the findings.

C. The pH is high (7.45) while the Paco2 is low (30 mm Hg), indicating respiratory alkalosis. The low HCO3- could be a compensatory mechanism but does not change the primary interpretation of respiratory alkalosis.

D. Respiratory acidosis would be indicated by a low pH and a high Paco2, which is not the case here.

A. The client has complete bilateral paralysis of the arms and legs. B. The client has lost the ability to move the right arm but is able to walk independently. C. The client has lost the ability to move the right arm but is able to walk independently. D. The client has weakness on the right side of the face and tongue. E. The client has lost the ability to ambulate independently but is able to feed and bathe herself or himself without assistance. F. The client has weakness on the right side of the body.

Correct Answer is ["D","F"]

Explanation

A. This statement indicates complete paralysis of both sides, which does not apply to hemiparesis, where one side is affected.

B. While this could describe some patients, it does not accurately represent "complete" right-sided hemiparesis.

C. This option is a repeat and also does not accurately reflect complete right-sided hemiparesis.

D. Weakness on the right side of the face and tongue is consistent with right-sided hemiparesis, as the stroke may affect motor control in those areas.

E. This describes a client who is less severely affected and may not apply to someone with complete right-sided hemiparesis.

F. Weakness on the right side of the body is a direct characteristic of right-sided hemiparesis.

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Correct Answer is C

Explanation

Correct Answer is ["D","F"]

Explanation

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The nurse reviews the arterial blood gas results of a client and notes the following: pH 7.45, [normal range: 7.35-7.45] Paco2 of 30 mm Hg (30 mmol/L), [normal range: 35-45] HCO3- of 20 mEq/L (20 mmol/L), [normal range: 22-26] Which condition would the nurse analyze these results to indicate?

Correct Answer is C

Explanation

The nurse is assigned to care for a client with complete right-sided hemiparesis [weakness] from a stroke (brain attack). admitting diagnosis cerebrovascular attack Right-sided hemiparesis Which characteristics are associated with this condition? Select 2 that apply.

Correct Answer is ["D","F"]

Explanation

A patient with a history of duodenal ulcer is admitted to the emergency department with reports of pain. The nurse should assess for this pain by palpating in which abdominal quadrant?

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