A nurse has written a plan of care for a man diagnosed with peripheral arterial insufficiency. One of the nursing diagnoses in the care plan is altered peripheral tissue perfusion related to compromised circulation

What is the most appropriate intervention for this diagnosis?
A) Elevate his legs and arms above his heart when resting.
B) Encourage the patient to engage in a moderate amount of exercise.
C) Encourage extended periods of sitting or standing.
D) Discourage walking in order to limit pain.


Ans: B
Feedback:
The nursing diagnosis of altered peripheral tissue perfusion related to compromised circulation requires interventions that focus on improving circulation. Encouraging the patient to engage in a moderate amount of exercise serves to improve circulation. Elevating his legs and arms above his heart when resting would be passive and fails to promote circulation. Encouraging long periods of sitting or standing would further compromise circulation. The nurse should encourage, not discourage, walking to increase circulation and decrease pain.

Nursing

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