What is not a sign of inadequate perfusion?
Bounding pulses.
Cyanosis.
Pallor.
Coolness.
The Correct Answer is A
Bounding pulses are not a sign of inadequate perfusion.
Inadequate perfusion is when blood flow to a specific part of your body is reduced and that part will not receive essential nutrients.
Signs of inadequate perfusion include cyanosis (bluish discoloration of the skin due to lack of oxygen), pallor (paleness of the skin), and coolness1.
Choice B is incorrect because cyanosis is a sign of inadequate perfusion.
Choice C is incorrect because pallor is a sign of inadequate perfusion.
Choice D is incorrect because coolness is a sign of inadequate perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
It is important for the nurse to understand the client’s cultural perspective and work with them to find a method that will help them adhere to their medication schedule.
This approach shows respect for the client’s cultural beliefs and values while also emphasizing the importance of taking their medications on time.
CHOICE A. Telling the client that they will die if they do not take their medications at a certain time is not an appropriate response as it may cause unnecessary fear and anxiety.
CHOICE B. Telling the client that it is their prerogative to follow the schedule or not does not emphasize the importance of adhering to the medication schedule.
CHOICE D. Simply providing the client with a schedule and a watch without discussing their cultural beliefs and values may not be effective in helping them adhere to their medication schedule.
Correct Answer is D
Explanation
Encouraging bed rest would be an inappropriate nursing intervention to promote mobility for a client with decreased mobility.
Bed rest can lead to further complications of immobility1.
Choice A is not an answer because teaching the client to do active range of motion (AROM) exercises every 2 hours can help maintain joint mobility and muscle strength2.
Choice B is not an answer because evaluating the client’s need for ambulatory aids can help them move safely and independently1.
Choice C is not an answer because keeping skin clean and dry is important for preventing skin breakdown, which can be a complication of immobility1.
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