EDAPT Nursing Care Altered Perfusion
EDAPT Nursing Care: Altered Perfusion
Study online at https://quizlet.com/_cyhtye
1. The nurse is caring for a client whose Recognizing a clue
blood pressure is low. Which part of the
clinical judgment measurement model
(CJMM) is the nurse performing?
2. The nurse is caring for a client who is Generating a solution
experiencing shortness of breath and
tachypnea during an asthma exacer-
bation. 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?
3. The nurse checks a client's blood pres- Evaluating outcomes
sure and heart rate after administering
an antihypertensive medication. Which
part of the clinical judgment measure-
ment model (CJMM) is the nurse per-
forming?
4. The nurse is caring for several clients Altered central perfusion
with altered perfusion. For each as- Dyspnea
sessment finding, indicate if the find- Tachycardia
ing represents altered peripheral or Chest pain
central perfusion. Dizziness
Altered peripheral perfusion
Decreased hair distribution
Cool, pale skin on legs
Diminished pedal pulses
Decreased capillary refill
1/4
1
EDAPT Nursing Care: Altered Perfusion
Study online at https://quizlet.com/_cyhtye
1. The nurse is caring for a client whose Recognizing a clue
blood pressure is low. Which part of the
clinical judgment measurement model
(CJMM) is the nurse performing?
2. The nurse is caring for a client who is Generating a solution
experiencing shortness of breath and
tachypnea during an asthma exacer-
bation. 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?
3. The nurse checks a client's blood pres- Evaluating outcomes
sure and heart rate after administering
an antihypertensive medication. Which
part of the clinical judgment measure-
ment model (CJMM) is the nurse per-
forming?
4. The nurse is caring for several clients Altered central perfusion
with altered perfusion. For each as- Dyspnea
sessment finding, indicate if the find- Tachycardia
ing represents altered peripheral or Chest pain
central perfusion. Dizziness
Altered peripheral perfusion
Decreased hair distribution
Cool, pale skin on legs
Diminished pedal pulses
Decreased capillary refill
1/4
1
