A nurse is assisting a healthcare provider with a sterile procedure and is preparing to pour solution onto a sterile piece of gauze.
In what sequence should the nurse perform the following steps when pouring the sterile solution?

Smoking, Diabetes, Atherosclerosis, and Weak pedal pulses.

Factors that contribute to poor circulation to the limb include:

• Smoking: It can cause constriction and damage to the blood vessels, leading to poor circulation.
• Diabetes: High blood sugar levels can damage blood vessels and nerves, leading to poor circulation.
• Atherosclerosis: This is a condition where plaque builds up in the arteries, narrowing them and reducing blood flow.
• Weak pedal pulses: This can be a sign of reduced blood flow to the lower extremities. A sodium-restricted diet (Choice B) is not typically associated with poor circulation.

Choice A rationale

Spending time with the patient is a therapeutic nursing approach when caring for a patient hospitalized for the treatment of severe depression. This approach shows the patient that they

are not alone and that their feelings are important. It can help build trust and rapport, which are essential for effective therapeutic communication and intervention.

Choice B rationale

Offering the patient choices of activities can be beneficial as it can provide a sense of control and improve mood. However, this approach should be used judiciously as the patient’s energy levels and interest in activities may be low due to depression.

Choice C rationale

Establishing a therapeutic relationship with the patient is an important aspect of care. However, this is a broad approach and involves more than just spending time with the patient. It includes building trust, maintaining confidentiality, and providing empathetic and nonjudgmental care.

Choice D rationale

Exploring the truth of the patient’s statements can be part of cognitive behavioral therapy (CBT), a common treatment for depression. However, this is usually done by a trained therapist and not by a nurse providing general care.