Questions 116

NCLEX-RN

NCLEX-RN Test Bank

Health Care of the Older Adult NCLEX Questions

Extract:


Question 1 of 5

An overweight client taking warfarin (Coumadin) has a nursing diagnosis of ineffective tissue perfusion related to decreased arterial blood flow. What should the nurse instruct the client to do? Select all that apply.

Correct Answer: B,C,E

Rationale: Rationales:
B) A reduced-calorie, reduced-fat diet helps manage weight and reduce atherosclerosis progression, improving arterial blood flow.
C) Daily inspection for ulcerations is essential in PVD to detect early skin breakdown due to poor perfusion. E) Using an electric razor minimizes the risk of cuts and bleeding, which is critical for a client on warfarin.
A) Applying lanolin or petroleum jelly is not directly related to improving tissue perfusion.
D) Limiting ADLs is incorrect, as moderate activity promotes circulation unless contraindicated.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

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Question 4 of 5

Correct Answer:

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Question 5 of 5

Correct Answer:

Rationale:

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