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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 C

Explanation

A. Heroin use is generally associated with intravenous use and is less commonly linked to nasal septum perforation.

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C. Cocaine is frequently snorted, which can lead to irritation and damage to the nasal passages and septum, resulting in perforation.

D. Marijuana is usually smoked rather than snorted, and it is not commonly associated with nasal septum perforation.

Correct Answer is D

Explanation

A. A pustule is a small elevation of the skin that contains pus, typically smaller than 0.5 cm.

B. A macule is a flat, discolored area of skin that is less than 0.5 cm in diameter, so it does not fit the description of elevated lesions larger than 0.5 cm.

C. A papule is an elevated, solid lesion that is less than 0.5 cm in diameter; lesions larger than this would not be classified as papules.

D. A patch is defined as a flat, non-palpable lesion larger than 0.5 cm, and psoriasis can present as patches. Thus, the lesions described fit this classification.

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