The nurse identifies the diagnosis Ineffective Peripheral Tissue ...

[rosent76]

The nurse identifies the diagnosis Ineffective Peripheral Tissue Perfusion related to decreased arterial flow to extremities as appropriate for a client. Which activity will the nurse recommend in order to improve the client's blood flow?
 
  A) Cross the legs at the knees when seated.
  B) Use a heating pad to increase warmth.
  C) Elevate the feet while reclining.
  D) Position with the extremities dependent.

Question 2

The nurse is planning care for an older adult client with chronic venous insufficiency. Which will the nurse include in the client's teaching plan?
 
  A) Keep the legs dependent as much as possible and elevate only when asleep.
  B) Wear elastic hose as prescribed.
  C) Standing will prevent the progression of the disease.
  D) Cross legs only at the knees.

[katheyjon]

Answer to Question 1

Answer: D

Positioning with the extremities dependent is correct because gravity promotes arterial flow to the dependent extremity, increasing tissue perfusion. Crossing the legs at the knees when seated is not recommended because this position compresses partially obstructed arteries and impairs blood flow. Elevating the feet while reclining is not recommended because elevating the feet works against gravity and will further impede blood flow. Using a heating pad to increase warmth is not recommended because external heating devices could increase the risk of burns in a client with impaired circulation and decreased sensation.

Answer to Question 2

Answer: B

Care and treatment of a client with peripheral vascular disease includes instruction. The nurse should instruct the client to wear elastic hose as prescribed. The nurse should instruct the client to avoid sitting or standing for long periods of time. The legs should be elevated during rest and when asleep. Crossing the legs should be avoided.