The nurse assesses a patient with arterial occlusive disease in the lower extremities. Which activity should the nurse implement in the patient's plan of care?

Question

a. Use a Doppler device to locate pulses.
b. Massage the feet and ankles twice daily.
c. Elevate the legs slightly when in the chair.
d. Measure the circumference of the thighs daily.

Answer 1

A
The nurse uses a Doppler device to locate peripheral pulses for a patient with arterial occlusive disease because arteries in this health alteration are often difficult to locate as they slowly narrow and impair oxygenated blood flow. Additionally the nurse assesses skin temperature, color, and sensation to establish baseline information. Massaging areas of impaired arterial perfusion is contraindicated because the patient is already at risk for breakdown. Although massage poten-tially increases blood flow to tissue, it is contraindicated at the ankles and feet because this skin covers many bony prominences. The legs of the patient with arterial occlusive disease usually need to be dependent to allow gravity to help pull oxygenated blood to the periphery. Elevating the legs promotes venous return and increases the difficulty of oxygenating the tissue because the vessels need to deliver oxygenated blood through inadequate arteries. Thigh measurement is in-dicated for thromboembolic events, venous insufficiency, or other disorders that impair venous return.