A patient is demonstrating signs of ineffective peripheral tissue ...

[captainjonesify]

A patient is demonstrating signs of ineffective peripheral tissue perfusion. What intervention would be appropriate for this patient?
 
  1. Encourage patient to reduce level of exercise.
  2. Discuss smoking cessation techniques.
  3. Keep extremities cool.
  4. Assist with pillow placement under knees.

Question 2

The nurse is reviewing data collected on a group of patients. Which patient should the nurse realize is at risk for high-output heart failure?
 
  1. a patient with chronic anemia
  2. a person with untreated hypertension
  3. an individual with untreated hypothyroidism
  4. someone who abuses sedatives and analgesics

[katara]

Answer to Question 1

Correct Answer: 2
Interventions for a patient who is experiencing ineffective peripheral tissue perfusion include instructing the patient to avoid smoking. Nicotine is a potent vasoconstrictor that further impairs arterial blood flow. The patient should be instructed on the benefits of regular exercise; the importance of keeping the extremities warm but avoid using electronic heating pads or hot water bottles; and avoiding crossing legs or using a pillow under the knees.

Answer to Question 2

Correct Answer: 1
High-output heart failure occurs in patients in hypermetabolic states such as anemia or hyperthyroidism. Hypertension is typically associated with low-output heart failure. Sedatives and analgesics slow metabolic function.

[captainjonesify]

Excellent

[kswal303]

Thanks for the timely response, appreciate it