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    Hesi rn 246 health assessment proctored exam (nightgale college)

    The nurse observes that the lower legs of a client with diabetes mellitus are shiny and have no hair growth. To obtain additional data to support these findings, which assessment should the nurse perform?

    Explanation & Rationale

    Choice A reason: Capillary glucose measurement assesses glycemic control but does not provide information about peripheral circulation or vascular integrity. Choice B reason: Palpating the dorsalis pedis pulses helps assess peripheral arterial circulation. Shiny skin and hair loss may indicate peripheral arterial disease, which is a common complication in diabetes. Choice C reason: Asking about weakness or hunger relates more to glycemic symptoms than vascular assessment. Choice D reason: Range of motion assessment evaluates joint and muscular function, not vascular perfusion. It does not correlate directly with the observed skin changes.

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