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A nurse is caring for a patient suspected of having compromised blood flow to a limb. What factors contribute to poor circulation to the limb?

Smoking

Sodium restricted diet

Diabetes

Atherosclerosis

Weak pedal pulses

Answer and Explanation

Correct Answer : A,C,D,E

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.

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Correct Answer is B

Explanation

Choice A rationale

Positioning the head of the patient’s bed flat is not typically recommended after a laryngectomy. Instead, the head of the bed is often elevated to help reduce swelling and improve breathing.

Choice B rationale

Providing the patient with humidified air can help keep the airway moist and reduce discomfort, making it a common practice after a laryngectomy.

Choice C rationale

While keeping the surgical site clean is important, cleaning the patient’s sutures every 8 hours is not a standard recommendation and may vary based on the surgeon’s instructions.

Choice D rationale

Suctioning the patient’s mouth on the side of the surgery is not typically recommended as it could potentially disrupt the surgical site.

A. Engage in conversation with the patient during wound care. B. Ensure the patient’s room is kept tidy by support staff. C. Keep the patient’s family informed about his condition. D. Rotate the nursing staff to provide the patient with varied interactions.

Correct Answer is A

Explanation

Choice A rationale

Engaging in conversation with the patient during wound care can provide emotional support by distracting the patient from the pain and discomfort associated with the procedure. It also helps to build a therapeutic relationship, which is crucial in the healing process.

Choice B rationale

While ensuring the patient’s room is kept tidy by support staff is important for maintaining a clean and safe environment, it does not directly provide emotional support to the patient.

Choice C rationale

Keeping the patient’s family informed about his condition can provide reassurance and reduce anxiety, but it does not directly provide emotional support to the patient.

Choice D rationale

Rotating the nursing staff can provide the patient with varied interactions, but it may not necessarily provide emotional support. Consistency in care providers can often be more beneficial in building trust and rapport.

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A nurse is caring for a patient suspected of having compromised blood flow to a limb. What factors contribute to poor circulation to the limb?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who has just undergone a laryngectomy. What action should the nurse take in this situation?

Correct Answer is B

Explanation

A nurse is formulating a care plan for a patient recovering from severe burns.Which of the following strategies should the nurse incorporate to provide emotional support?

Correct Answer is A

Explanation

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