1. While assessing a client with diabetes mellitus, the nurse observes an
absence of hair growth
on the client's legs. What additional assessment provides further data to
support this
finding?
a. Palpate for the presence of femoral pulses bilaterally.
b. Assess for the presence of a positive Homan's sign.
c. Observe the appearance of the skin on the client's legs.
d. Watch the client's posture and balance during ambulation - ANSWER ANS: C
Signs of chronic arterial insufficiency include decreased hair growth in the
legs and feet,
absent or decreased pedal pulses, infection in the foot, poor wound healing,
thickened nails,
and a shiny appearance of the skin (C). Femoral pulses (A) should still be
palpable in the
diabetic with chronic arterial insufficiency. A positive Homan's sign is an
indicator of deep
vein thrombosis (B). (D) would probably not be affected significantly by
chronic arterial
insufficiency.
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