A nurse is required to apply a bandage to a client who has injured a leg in an accident. What are signs and symptoms to be evaluated by the nurse to indicate whether there is any circulatory disturbance in the client?
1 . Observe for pink color changes in the toes.
2 . Check for pain associated with movement of the toes.
3 . Observe for presence of edema in the lower extremity.
4 . Temperature of extremity is warm.
A) 1, 2
B) 1, 4
C) 2, 3
D) 3, 4
C
Feedback:
The signs and symptoms to be evaluated by the nurse to indicate circulatory disturbance in the client include the following: observation for any unusual color changes in the toes, such as pale, white, cyanotic, or mottled appearance. Check for pain associated with movement of the toes. Observe for edema in the extremity wherein an imprint remains after the client's hand or foot is pressed gently. Check for alteration in temperature of the extremity compared with the general temperature of the client's body.
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