Adult Health Exam 1 Questions And
Correct Answers.
Nursing Interventions for Optimal Tissue Integrity - Answer turning Q4H
keeping skin dry
frequent assessments
clinical manifestations of PAD - Answer · intermittent claudication
· ischemic muscle pain that is caused by lactic acid build up from exercising
· paresthesia- produces loss of pressure and deep pain sensations leading to injuries
· Thin, shiny, and taut skin
· Loss of hair on the lower legs
· Diminished or absent pedal, popliteal, or femoral pulses
· Pallor of foot with leg elevation
· Reactive hyperemia of foot with dependent position (dependent rubor)
· Pain at rest in feet or toes, occurs more at night
DO NOT ELEVATE
Round and dry wounds with clean edges
clinical manifestations of venous leg ulcers (VLU) - Answer Jagged and wet wound
elevate legs
swollen or edematous legs
Apply the nursing process to the care of peri-operative clients - Answer Check LOC and reorient the
client frequently
ambulation as early as possible
least to most invasive approach
pain management
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