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Which of the following suggests acute peripheral arterial insufficiency?
Suggested Answer: D
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Acute peripheral arterial insufficiency typically presents with sudden, severe pain at rest, which may be accompanied by other signs such as pallor, paresthesia, paralysis, pulselessness, and poikilothermia (the six P's). This condition indicates a critical reduction in blood flow to the affected extremity, requiring immediate medical attention. Reference: AACN Adult CCRN Certification Review Course, AACN CCRN Exam Handbook.
15 comments · newest first
MO
Mohammad
15 days ago
I see your point. D does highlight urgency.
JO
Joanne
20 days ago
Yeah, D really suggests an emergency situation.
PA
Pamella
25 days ago
True, but D feels more acute to me.
MO
Mohammad
1 month ago
But what about C? Weak equal bilateral pedal pulses could also mean something.
JO
Joanne
1 month ago
I agree! That indicates a lack of blood flow.
PA
Pamella
1 month ago
I think it's D. Sudden, severe pain at rest sounds serious.
LU
Lucy
2 months ago
Surprised that people overlook the pain aspect!
MA
Mayra
2 months ago
Really? I thought weak pulses were more indicative.
DI
Diane
2 months ago
Definitely agree with D, that one stands out.
AD
Adelina
2 months ago
I thought capillary refill time was more about shock?
ME
Merri
2 months ago
D) sudden, severe pain at rest is a classic sign.
DO
Donette
2 months ago
I recall that a positive Homans' sign is more about DVT, so I don't think that's the right choice here. Maybe it's D after all?
HA
Hayley
3 months ago
I’m a bit confused about the signs. I know capillary refill time is important, but I don’t think it indicates acute insufficiency.
LE
Leonora
3 months ago
I feel like we practiced a question similar to this, and I think the answer was related to pain levels. Could it be D?
VI
Viki
3 months ago
I think I remember something about acute peripheral arterial insufficiency being linked to severe pain, but I'm not entirely sure if it's at rest or with activity.