A nurse has written a plan of care for a 54-year-old 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) Elevating his legs and arms above his heart when resting
B) Encourage the patient to engage in a moderate amount of exercise
C) Encourage long periods of sitting or standing
D) Discourage walking to decrease 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. Option A is incorrect; elevating his legs and arms above his heart when resting would be passive and fails to promote circulation. Option C is incorrect; encouraging long periods of sitting or standing would further compromise circulation. Option D is incorrect; the nurse should encourage, not discourage, walking to increase circulation and decrease pain.
You might also like to view...
Which term should the nurse use to best describe the movement of air in and out of the patient's lungs?
a. Ventilation b. Diffusion c. Respiration d. Perfusion
The three vital functions muscles perform when they contract are: (Select all that apply.)
a. To allow for accumulation of uric acid in blood b. Maintenance of posture c. Motion d. To serve as a storage area for various minerals e. Production of heat f. To assist in return of venous blood to the left side of the heart
In order to structure a good review for your NCLEX-RN exam, you should identify your strengths and weaknesses, and utilize certain suggestions for doing so. Which of the following is not usually one of these suggestions?
a. use your intuitive knowledge of what you know and do not know b. complete a self-needs analysis c. establish a schedule that allows you to completely cover all material to be learned d. purchase one of the NCLEX-RN review books and use it
A patient has had two breast biopsies within 10 years. Both of these biopsies were to drain cysts. The nurse should instruct the patient that these procedures will have which impact on the future development of breast cancer?
A) No increased risk B) Small increased risk C) Moderate increased risk D) Large increased risk