The nurse is providing care to a client diagnosed with chronic obstructive pulmonary disease (COPD). Which clinical manifestations indicate the client's perfusion is affected?
Select all that apply.
A) Bounding pulse
B) Pink nail beds
C) Acrocyanosis
D) Confusion
E) Wheezing
Answer: B, E
A client who is diagnosed with COPD may have alterations in both oxygenation and perfusion. Clinical manifestations associated with a decrease in perfusion include acrocyanosis and confusion. A weak pulse and blue nailbeds would also indicate poor perfusion. Wheezing is an abnormal breath sound and is not an indication of poor perfusion.
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