EDAPT ALTERED PERFUSION EXAM WITH COMPLETE SOLUTIONS
100% VERIFIED!!!! ALREADY GRADED A+
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? - (answer)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? - (answer)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? -
(answer)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. - (answer)*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 __________. - (answer)Myocardial infarction
Decreased cardiac output
,EDAPT ALTERED PERFUSION EXAM WITH COMPLETE SOLUTIONS
100% VERIFIED!!!! ALREADY GRADED A+
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. - (answer)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? - (answer)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. - (answer)Pain reported as 3/10
Pedal pulse 2+ in the left foot
Left foot is pink and warm to touch
Minimal swelling of the left foot
Select the cues that require immediate follow-up by the nurse.
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency department
with shortness of breath and chest pain. She has a history of smoking, heart failure, asthma, and gastric
ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L. - (answer)Shortness of breath
Chest pain
, EDAPT ALTERED PERFUSION EXAM WITH COMPLETE SOLUTIONS
100% VERIFIED!!!! ALREADY GRADED A+
Oxygen saturation 82%
Crackles in the lower lung fields
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency department
with shortness of breath and chest pain. She has a history of smoking, heart failure, asthma, and gastric
ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L.
The client has clinical manifestations consistent with acute heart failure. The client has __________
caused by __________. - (answer)Pulmonary edema
Fluid volume overloard
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency department
with shortness of breath and chest pain. She has a history of smoking, heart failure, asthma, and gastric
ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L.
The nurse analyzes the assessment findings and identifies three client problems. Place the client's
problems in the correct priority order, from highest to lowest. - (answer)1. Impaired gas exchange
2. Excess fluid volume
3. Ineffective peripheral tissue perfusion
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency department
with shortness of breath and chest pain. She has a history of smoking, heart failure, asthma, and gastric
ulcers. Julie's body mass index is 32.
100% VERIFIED!!!! ALREADY GRADED A+
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? - (answer)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? - (answer)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? -
(answer)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. - (answer)*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 __________. - (answer)Myocardial infarction
Decreased cardiac output
,EDAPT ALTERED PERFUSION EXAM WITH COMPLETE SOLUTIONS
100% VERIFIED!!!! ALREADY GRADED A+
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. - (answer)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? - (answer)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. - (answer)Pain reported as 3/10
Pedal pulse 2+ in the left foot
Left foot is pink and warm to touch
Minimal swelling of the left foot
Select the cues that require immediate follow-up by the nurse.
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency department
with shortness of breath and chest pain. She has a history of smoking, heart failure, asthma, and gastric
ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L. - (answer)Shortness of breath
Chest pain
, EDAPT ALTERED PERFUSION EXAM WITH COMPLETE SOLUTIONS
100% VERIFIED!!!! ALREADY GRADED A+
Oxygen saturation 82%
Crackles in the lower lung fields
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency department
with shortness of breath and chest pain. She has a history of smoking, heart failure, asthma, and gastric
ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L.
The client has clinical manifestations consistent with acute heart failure. The client has __________
caused by __________. - (answer)Pulmonary edema
Fluid volume overloard
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency department
with shortness of breath and chest pain. She has a history of smoking, heart failure, asthma, and gastric
ulcers. Julie's body mass index is 32.
Vital signs are T: 99.2 °F (37.3 °C), P: 110, BP: 159/89, and oxygen saturation 82% on room air.
Assessment reveals crackles in the lower lung fields and pitting edema in the lower extremities.
Potassium level is 3.6 mEq/L.
The nurse analyzes the assessment findings and identifies three client problems. Place the client's
problems in the correct priority order, from highest to lowest. - (answer)1. Impaired gas exchange
2. Excess fluid volume
3. Ineffective peripheral tissue perfusion
Julie Klaus (pronouns: she/her/hers) is a 62-year-old client who presents to the emergency department
with shortness of breath and chest pain. She has a history of smoking, heart failure, asthma, and gastric
ulcers. Julie's body mass index is 32.
