Peripheral circulation

  • NCLEX-PN
  • Reduction of Risk Potential
  • Drag and drop
  • Difficulty 3 of 5

Question

A nurse checks circulation in an adult client’s legs. Sort these independent observations by whether they are expected or unexpected.

Expected

  • Both pedal pulses are present and equal
  • Warm, dry skin on both feet

Unexpected

  • New swelling of one leg
  • A newly absent pedal pulse

Answer

Expected: Both pedal pulses are present and equal; Warm, dry skin on both feet · Unexpected: New swelling of one leg; A newly absent pedal pulse

Rationale

Warm, dry skin and equal pulses on both sides are expected findings. Absent pulses and new or worsening edema are unexpected findings.

RememberCheck both limbs for pulses, temperature and swelling.

Sources

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