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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. Linea nigra is not typically found in older adults.

B. Infants and children do not generally exhibit linea nigra.

C. Adolescents do not commonly have linea nigra.

D. Linea nigra is a dark line that appears on the abdomen of pregnant women due to hormonal changes and increased pigmentation.

Correct Answer is C

Explanation

A. Cranial nerves III, IV, and VIII are not involved in mouth functions; they primarily deal with eye movements and hearing.


B. Cranial nerves III, II, and VI are involved in vision and eye movement but not in mouth functions.


C. Cranial nerves IX (glossopharyngeal), X (vagus), and XII (hypoglossal) are all tested through functions such as swallowing, speech, and movement of the tongue, which occur in the mouth.


D. Option D incorrectly lists cranial nerve I twice; cranial nerve I (olfactory) is related to the sense of smell, not the mouth.

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