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 D
Explanation
The best intervention by the nurse to prevent further skin and tissue breakdown on a reddened area on a client’s right heel is to relieve pressure from the right heel1.
Heels are particularly vulnerable to skin breakdown and when patients lie supine, all of the pressure of their lower legs and feet rest on the heels1.
Preventing heel ulcers primarily involves the use of simple devices, like pillows and offloading devices, to protect delicate heels1.
Choice A is not correct because documenting the reddened area alone will not prevent further skin and tissue breakdown.
Choice B is not correct because asking the client how the area became reddened alone will not prevent further skin and tissue breakdown.
Choice C is not correct because assessing the client’s diet alone will not prevent further skin and tissue breakdown.
Correct Answer is D
Explanation
Unattended pools pose the greatest danger to toddlers because they can easily drown if they fall in and are not supervised.
Choice A is incorrect because mistletoe tightly secured to the ceiling is unlikely to pose a danger to toddlers.
Choice B is incorrect because medication locked in a cabinet is unlikely to pose a danger to toddlers as long as it remains locked and out of reach.
Choice C is incorrect because large toys with large parts are unlikely to pose a danger to toddlers as long as they are age-appropriate and do not have small parts that can be swallowed.
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