EDAPT: Altered Perfusion (A+ Guaranteed) 2024.

The nurse is caring for a client whose blood pressure is low. Which part of the clinical judgment measurement model (CJMM) is the nurse performing? correct answers Recognizing a cue The nurse is caring for a client who is experiencing shortness of breath and tachypnea during an asthma exacerbation. Before administering oxygen, the nurse plans to elevate the head of the bed. Which part of the clinical judgment measurement model (CJMM) is the nurse performing? correct answers Generating a solution The nurse checks a client's blood pressure and heart rate after administering an antihypertensive medication. Which part of the clinical judgment measurement model (CJMM) is the nurse performing? correct answers Evaluating outcomes The nurse is caring for several clients with altered perfusion. For each assessment finding, indicate if the finding represents altered peripheral or central perfusion. correct answers *Altered Central Perfusion:* • Dyspnea • Dizziness • Tachycardia • Chest pain *Altered Peripheral Perfusion:* • Decreased hair distribution on legs • Cool, pale skin on legs • Diminished pedal pulses • Decreased capillary refill The nurse is caring for a client with signs of altered central perfusion. The client is at risk for developing __________ caused by __________. correct answers Myocardial infarction Decreased cardiac output When caring for a client who is hospitalized with decreased central perfusion following a myocardial infarction, which prescriptions does the nurse anticipate? Select all that apply. correct answers Vasodilator medication Vascular intervention Supplemental oxygen The nurse is caring for a client who reports severe pain in the lower left leg following a femur fracture. What is the nurse's priority action at this time? correct answers Perform a peripheral vascular assessment of the left leg. The nurse is caring for a client who reports severe pain in the lower left leg following a femur fracture. After medical intervention, another peripheral vascular assessment is performed. What are signs that medical intervention has been successful? Select all that apply. correct answers Pain reported as 3/10