verified
1. Intermittent claudication leg pain is characterized
With activity
as pain that occurs:
and is relieved
2. As you examine a patient's lower extremity you ob- by rest.
serve a thin leg with dry skin and very little hair; the
Arterial insuffi-
ABI is 0.5. From this data, what condition would
ciency.
you assess to be present?
3. Which of the following statements about
inelastic compression bandages is accurate?
They are only
ef- fective in
4. What is Mrs. Lang's foot deformity called when the am-
there is a rocker bottom appearance to her foot? bulatory
patient.
5. Which of the following statements about
contact casting is correct? Charcot's joint.
The contact
6. Mrs. Anderson has dependent rubor and elevation cast
pallor of her right lower extremity. The systolic redistributes
pres- sure in her R. arm is 170 mmHg; L arm is 165 the weight of
mmHg, the dia- betic
R. dorsal pedis systolic pressure was 100 mmHg foot.
and the posterior tibial pressure was 95 mmHg.
What is Mrs. Anderson's ABI for the RLE? 0.59
Record the
high- est
brachial pres-
sure in the
arms. Record
the high- est
pressure from
the dorsal
pedis and
posterior tib- ial
pulse loca-
tion. Calculate
the ABI by
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dividing the higher of two ankle pressures by the
higher of the two brachial pressures. 100 (highest of
two ankle pressures) is divided by
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170 (highest of
2 brachial pres-
sures) = 0.588;
round off to
0.59 ABI.
7. An ambulatory patient with insulin dependent dia- Neuropathic Ul-
betes has an ulcer located on the plantar surface of cer.
the left foot over the third metatarsal head. The
ulcer is 1 cm in diameter, with a dry red surface. The
patient denies any pain in the ulcer. What type of
wound does this most likely represent?
8. Which of the following assessments is most An ABI of 0.7.
indica- tive of an arterial ulcer? An ABI of less
than 0.9 is in-
dication that
the wound has
an ar- terial
insufficiency or
LEAD (lower ex-
tremity arterial
dis- ease). Pain
occurs with
many types of
leg ulcers as
well as arterial.
Many factors
can con- tribute
to the col- or
9. Which of the following statements is TRUE? and condition of
Venous dermatitis: the wound bed.
results in
10. Which of the following statements concerning the erythe- ma,
management of a mixed venous/arterial ulcer with crusting, scal-
an ABI of .75 is TRUE? ing skin of the
leg.
Graduated
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com- pression can be provided at a mod- ified level
of sup- port.
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