Author Question: Which interventions would be appropriate for the nurse to use to improve the tissue perfusion of an ... (Read 66 times)

Diane · **on:** Jul 11, 2018

Which interventions would be appropriate for the nurse to use to improve the tissue perfusion of an older patient? (Select all that apply.)

A) Reminding about frequent position changes
B) Ensuring an adequate body temperature
C) Encouraging physical activity when possible
D) Assessing for and preventing sources of pressure on the body
E) Limiting exercise and ensuring adequate rest between periods of exertion

Question 2

An older patient recovering from surgery is experiencing left calf edema and the area is red and painful to touch. Which actions should the nurse anticipate to be prescribed for this patient?

A) Bed rest and administration of nitroglycerine as ordered
B) Massaging the affected leg and providing analgesia as ordered
C) Mobilizing the client and providing an ice pack for the affected leg
D) Application of elastic stockings and administration of anticoagulants as ordered

yotaSR5 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, B, C, D
Feedback:
Interventions to improve tissue perfusion in the older patient include frequent position changes, maintaining body warmth, encouraging physical activity, and preventing sources of pressure on the body. Placing limits on activity and emphasizing rest are unlikely to improve tissue perfusion.

Answer to Question 2

D
Feedback:
Elastic stockings and anticoagulants are commonly used in both the prevention and treatment of venous thromboembolism. Nitroglycerine is not a relevant therapy and both mobilization and massage would likely be contraindicated due to the risk of dislodging a clot. Bed rest will be prescribed until fear of the clot dislodging has passed. Ice is not usually prescribed as treatment for a venous thrombosis.