The nurse is performing a circulatory system assessment with a ...

[evelyn o bentley]

The nurse is performing a circulatory system assessment with a client. Which finding suggests that the client has a total arterial occlusion?
 
  1. The extremity has full and bounding pulses.
  2. The client complained of itchy skin.
  3. The extremity suddenly became white, cold, and painful.
  4. The client experiences transient loss of sensation in an extremity.

Question 2

The nurse prepares to discharge a client with deep venous thrombosis. What should the nurse include in the teaching plan?
 
  1. Sitting instead of standing relieves pressure on the veins.
  2. Thromboembolism device (TED) hose should be worn to prevent venous stasis.
  3. Bedrest should be maintained to prevent pulmonary emboli.
  4. Venous circulation is improved by decreasing activity.

[asware1]

Answer to Question 1

Answer: 3

1. This indicates adequate blood flow.
2. This is not a finding associated with an arterial occlusion.
3. The sudden onset of symptoms with coldness, pallor, and pain suggests an arterial thrombus or emboli.
4. This could be from impairment in neurovascular function.

Answer to Question 2

Answer: 2

1. Sitting would promote venous stasis.
2. TED hose promote venous return to the heart by gently compressing the extremities.
3. Bedrest after discharge would be contraindicated, because activity is needed to promote venous circulation.
4. Activity is needed to promote venous circulation.

[evelyn o bentley]

TYSM

[diana chang]

Excellent