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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Fear of heights is known as acrophobia, not agoraphobia.
Choice B reason: Fear of blood is known as hemophobia, not agoraphobia.
Choice C reason: Agoraphobia is the fear of being in situations where escape might be difficult or that help wouldn't be available if things go wrong, such as shopping in a large mall.
Choice D reason: Fear of speaking is known as glossophobia, not agoraphobia.
Correct Answer is D
Explanation
Choice A reason: While controlling pain is a benefit, it is not the primary purpose of a CPM machine.
Choice B reason: Relieving foot swelling is not the main function of a CPM machine.
Choice C reason: Strengthening leg muscles is not the direct purpose of a CPM machine; it is designed to move the joint without the patient's muscles being used.
Choice D reason: The primary purpose of a CPM machine is to restore joint function by moving the joint through a prescribed range of motion, often after surgery, to prevent stiffness and increase circulation.
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