When performing a circulatory system assessment, the nurse suspects the client has a total arterial occlusion based on the following findings:
A)
Extremity suddenly became white, cold, and painful.
B)
Client complained of absence of sensation or ability to move the extremity.
C)
Client complained of pain and numbness in the extremity.
D)
Extremity became deep red and cool to touch.
B
Explanation:
A)
The sudden onset of symptoms with coldness, pallor, and pain suggest an arterial thrombus or emboli. The other options describe signs and symptoms of impaired blood flow or neurovascular function.
Application
Implementation
Physiological Integrity: Physiological Adaptation
B)
The sudden onset of symptoms with coldness, pallor, and pain suggest an arterial thrombus or emboli. The other options describe signs and symptoms of impaired blood flow or neurovascular function.
Application
Implementation
Physiological Integrity: Physiological Adaptation
C)
The sudden onset of symptoms with coldness, pallor, and pain suggest an arterial thrombus or emboli. The other options describe signs and symptoms of impaired blood flow or neurovascular function.
Application
Implementation
Physiological Integrity: Physiological Adaptation
D)
The sudden onset of symptoms with coldness, pallor, and pain suggest an arterial thrombus or emboli. The other options describe signs and symptoms of impaired blood flow or neurovascular function.
Application
Implementation
Physiological Integrity: Physiological Adaptation
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