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colleen colleen
wrote...
Valued Member
Posts: 17077
11 years ago
A patient is demonstrating signs of ineffective peripheral tissue perfusion. Which of the following interventions would be appropriate for this patient?
1. Encourage patient to reduce level of exercise.
2. Discuss smoking cessation techniques.
3. Keep extremities cool.
4. Assist with pillow placement under knees.
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Sunshine ☀ ☼

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wrote...
Valued Member
11 years ago
2. Discuss smoking cessation techniques.

smoking is one of the common causes of artery (which bring blood to the tissue), lung and heart diseases. If there is ineffective perfusion of blood, of the other options smoking would be the cause.

1 is false because it is the exact opposite, there is an issue with blow flow so having the patient get in a habit of activity would be better. (3) you shouldnt keep them cool because it inhibits blow flow, and again you want to promote it. the last option (4) is also opposite, you wouldnt want to place a pillow under the knees, it may actually worsen the condition.
wrote...
Valued Member
11 years ago
2 -- Interventions for a patient who is experiencing ineffective peripheral tissue perfusion include assessing peripheral pulses, pain, color, temperature, and capillary refill every four hours and as needed; positioning with extremities dependent; instructing to avoid smoking; discussing the benefits of regular exercise; using a foot cradle and lightweight blankets, socks, and slippers to keep extremities warm; avoiding electric heating pads or hot water bottles; encouraging frequent position changes; and instructing to avoid crossing legs or using a pillow under the knees.
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