Asked by Andrew Bauer on Jun 01, 2024

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Which is the appropriate outcome for the patient with the nursing diagnosis risk for ineffective peripheral tissue perfusion related to prolonged immobility?

A) The patient's urinary output will remain at least 30 mL/hour.
B) The patient's legs will maintain strong peripheral pulses and no edema.
C) The patient's abdomen will stay soft with bowel sounds present × 4 quadrants.
D) The patient will remain alert and appropriate with no changes in mental status.

Peripheral Tissue Perfusion

The process of delivering blood to the body's tissues, ensuring that they receive adequate oxygen and nutrients.

Prolonged Immobility

Extended periods of inactivity or lack of movement, often leading to health complications like blood clots and muscle atrophy.

Peripheral Pulses

The palpable pulsations of arteries located away from the heart, commonly checked in the wrists and feet to assess circulatory health.

  • Establish and put into action nursing care strategies to facilitate patient movement and circumvent issues linked to being immobile.
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TR
Tonia RobertsJun 07, 2024
Final Answer :
B
Explanation :
The appropriate outcome for the patient with the nursing diagnosis risk for ineffective peripheral tissue perfusion is that the patient's legs will maintain strong peripheral pulses and no edema.Urinary output indicates renal perfusion.Bowel sounds indicate gastrointestinal perfusion.Mental status indicates cerebral perfusion.