NURSING QUESTION A 50-year-old male presents to the community clinic. He has jus

Question

NURSING QUESTION

A 50-year-old male presents to the community clinic. He has just relocated to the area and has no primary provider. He is a long distance truck driver and requires a physical examination to maintain his continued employment. Physical examination demonstrates a BMI of 33, blood pressure of 180/90 mm Hg, diminished femoral pulses and bilateral varicose veins with non pitting edema in both ankles. He has a 30 year history of smoking two packs of cigarettes per day.

·         What additional information is needed from the patient history and physical assessment to determine if this patient has arterial or venous insufficiency?

·         Compare and contrast evidence based nursing interventions for the patient diagnosed with arterial insufficiency and the patient diagnosed with venous insufficiency.

Thank you.

Explanation / Answer

The patient already fits the prone factors in causing venous insufficiency as he is a smoker, having bilateral varicose veins and by profession he is a long distance truck driver [ it causes inactivity- have to sit in a same place for more hours]

Inorder to confirm the diagnosis, patient can be go for Ankle-Brachial Index [ABI] test and doppler ultrasound.

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