Answer to Question 1
B
Do not just look at the patient's back pain as a problem to solve with quick remedies, but rather look at how the pain influences the patient's ability to function and achieve goals established in life (not just pain relief). Mobilizing the patient's hope is central to a healing relationship.
Answer to Question 2
D
A client with peripheral vascular disease should thoroughly inspect the feet daily, or ask a family member to check daily.
Clients with peripheral vascular disease should not soak their feet. Soaking increases risk of in-fection because of maceration of the skin.
Nails should be filed straight across and square.
The client with peripheral vascular disease should not cut corns or calluses or use commercial corn removers. The client should consult a podiatrist.
Answer to Question 3
C
Feedback
A Poor skin turgor indicates dehydration. It is not an indication of the patient's decreased oxygenation.
B Clubbing of the nails is found in patients with prolonged oxygen deficiency, endocarditis, and congenital heart defects. It is a change that occurs over time and is not an indication of the patient's current deterioration in oxygenation status.
C Central cyanosis is the most serious finding because it indicates hypoxemia.
D Pursed-lip breathing is used to slow expiratory flow. It is not the most serious indication of a patient's decreased oxygenation.
Areas of Referred Pain, Posterior View
Patient Teaching
A Patient Being Prepared for Electroconvulsive Therapy.
A patient examination room should be simple and efficiently designed.
Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease.
Sites of referred pain