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 D
Explanation
Choice A reason: The theory that schizophrenia is primarily related to a disturbed mother-child relationship is outdated and not supported by current research.
Choice B reason: While prenatal factors may contribute to the risk, schizophrenia is not solely caused by brain damage from the mother's use of tranquilizers during pregnancy.
Choice C reason: Alterations in opioid receptors are not currently considered a primary cause of schizophrenia.
Choice D reason: Schizophrenia is considered a brain disorder, with current research focusing on a combination of genetic and environmental factors, brain chemistry, and structure.
Correct Answer is D
Explanation
Choice A reason: Nurse self-awareness is crucial in providing care for individuals with personality disorders to avoid countertransference.
Choice B reason: Trust is a fundamental component of the nurse-client relationship and is necessary for effective care.
Choice C reason: Limit setting is essential for maintaining professional boundaries and providing structure in the therapeutic relationship.
Choice D reason: Vague communication is not therapeutic and can lead to misunderstandings and increased feelings of inferiority, which is not conducive to treatment.
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