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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 A

Explanation

Choice A rationale

Frothy sputum is a common finding in patients with left-sided heart failure. This is due to fluid accumulation in the lungs (pulmonary edema), which can cause the sputum to become frothy.

Choice B rationale

Dependent edema is more commonly associated with right-sided heart failure. It occurs due to fluid accumulation in the systemic circulation, leading to swelling in the lower extremities.

Choice C rationale

Nocturnal polyuria can occur in heart failure, but it is not a specific sign of left-sided heart failure.

Choice D rationale

Jugular venous distention is a sign of right-sided heart failure, not left-sided heart failure. It occurs due to increased pressure in the right atrium, leading to visible distention of the jugular veins.

A. “This is the medication that your doctor wants you to take.”. B. “Sometimes the same pill comes in a different color.”. C. “I will check your medication order again.”. D. “Let me explain the purpose of the medication.”. .

Correct Answer is C

Explanation

Choice A rationale

Telling the patient that this is the medication their doctor wants them to take does not address the patient’s concern about the color of the pill.

Choice B rationale

While it’s true that the same medication can sometimes come in different colors, this response does not confirm that the orange pill is the correct medication for the patient.

Choice C rationale

Checking the medication order again is the best response. This will ensure that the patient is receiving the correct medication.

Choice D rationale

Explaining the purpose of the medication does not address the patient’s concern about the color of the pill.

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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

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Correct Answer is C

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