A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?

Notify the physician.

Evaluate the distal pulses.

Have the patient lie in bed with a pillow under the knees.

Cover the patient with a blanket.

Answer and Explanation

The Correct Answer is B

Choice A reason: Notifying the physician is important, but it is not the immediate action to take. The nurse should first assess the patient's condition before contacting the physician.

Choice B reason: Evaluating the distal pulses is the correct action because it provides information on the blood flow to the extremities, which is crucial for patients with PAD.

Choice C reason: Having the patient lie in bed with a pillow under the knees is not recommended for PAD patients as it can decrease blood flow to the lower extremities.

Choice D reason: Covering the patient with a blanket may provide comfort, but it does not address the underlying issue of impaired blood flow in PAD.

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Correct Answer is B

Explanation

Choice A reason: Divorce can be a stressor, but it is not universally stressful to every individual; it depends on the person's experience and perception.

Choice B reason: Stress is subjective, and what one person finds stressful may not be stressful to another. Therefore, if the patient identifies an event as stressful, it should be considered as such.

Choice C reason: Loss of job can be a significant stressor due to financial and social implications, but again, it depends on the individual's circumstances and perception.

Choice D reason: Surgery can be a stressor due to its impact on physical health and potential for causing anxiety about medical procedures and outcomes.

A. Echopraxia B. Word salad C. Echolalia D. Illusion

Correct Answer is C

Explanation

Choice A reason: Echopraxia is the involuntary repetition of another person's movements or actions.

Choice B reason: Word salad refers to a confused or meaningless mixture of words and phrases, often seen in schizophrenia.

Choice C reason: Echolalia is the meaningless repetition of words just spoken by another person, occurring as a symptom of mental conditions.

Choice D reason: Illusion is a false idea or belief, or a deceptive appearance or impression.

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A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?