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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.)

HA, Chapter 20 Flashcards | Quizlet

A.

Iliac

B.

Femoral

C.

Popliteal

D.

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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Correct Answer is D

Explanation

A. Nodules, specifically rheumatoid nodules, can occur in RA, but they are not typically an early manifestation.

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C. Tenderness in the soles of the feet is not a classic early manifestation of RA.

D. Joint swelling is one of the hallmark early signs of rheumatoid arthritis due to inflammation of the synovial membranes.

Correct Answer is D

Explanation

A. Generalized joint discomfort is not commonly associated with contact dermatitis; this condition typically affects the skin locally rather than causing systemic joint symptoms.

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C. Pruritus (itching) is a common symptom of contact dermatitis, so denial of pruritus would not be expected.

D. Contact dermatitis often occurs due to exposure to a skin irritant, making a report of such exposure a typical finding in the assessment.

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