Global Rationale Cognitive Level Analyzing Client Need Physiological Integrity

Global rationale cognitive level analyzing client

This preview shows page 3 - 5 out of 26 pages.

Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 35-3 Question 4Type: MCSAA patient with peripheral arterial disease has a nursing diagnosis of Ineffective Tissue Perfusion. Which nursing intervention is most appropriate for this nursing diagnosis? 1. Assist the patient in taking hot baths.2. Do not elevate the patient's legs.3. Encourage the patient to limit activity.4. Limit visitors.Correct Answer: Rationale 1: A patient with PAD should avoid extremes in temperature, such as hot baths and cold weather.Rationale 2: Keeping a patient’s legs in the dependent position rather than elevated will help increase the arterial circulation.Rationale 3: Activity should be encouraged, not discouraged.Rationale 4: There is no need to limit visitors. 2 Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation
Image of page 3
Learning Outcome: 35-3 Question 5Type: MCSAA patient who has been diagnosed with peripheral arterial disease (PAD) has a nursing diagnosis of Risk for Impaired Skin Integrity related to reduced peripheral circulation. Which instruction is most appropriate to address this diagnosis? 4 . Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 35-3
Image of page 4
Image of page 5

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture