Question

When assessing an older adult client with arterial insufficiency due to atherosclerosis, which assessment data does the nurse expect to find? a) Bilateral pitting edema 3+ in ankles and feet. b) Carotid bruit present. c) Blood pressure 180/94. d) Peripheral pulses 1+/4+ in dorsalis pedis bilaterally. e) A pea-sized ulcer noted on the client's right great toe, no drainage, well-defined edges.

Answer 1

When assessing an older adult client with arterial insufficiency due to atherosclerosis, the nurse would expect to find the following assessment data:

e) A pea-sized ulcer noted on the client's right great toe, no drainage, well-defined edges.

Arterial insufficiency can lead to poor blood circulation in the extremities, which can result in the development of ulcers, particularly on the toes or feet. The characteristics described in option "e" are consistent with arterial ulcers.
The other options (a, b, c, and d) are not typically associated with arterial insufficiency and may be indicative of other health issues.

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