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    Hesi RN Med Surg Proctored Exam(ICHS)

    For each client activity, click to indicate whether the activity shows positive or negative health promotion postamputation due to extensive peripheral vascular disease (PVD). Each row must have one option selected.

    Explanation & Rationale

    • Inquires about blood pressure: Monitoring blood pressure is an important component of managing peripheral vascular disease because hypertension contributes to further vascular damage. A client asking about blood pressure demonstrates awareness of cardiovascular health and risk factor control. This indicates engagement in health maintenance and disease management. • Executes pull ups on trapeze bar: Using the trapeze bar helps strengthen upper body muscles and improves mobility after a lower limb amputation. This activity promotes independence in repositioning and transferring, which is essential for rehabilitation. Strengthening the arms and shoulders helps compensate for reduced lower extremity function. Engaging in physical activity supports recovery and functional adaptation. • Requests nurse to perform wound care: While nurses initially manage wound care during the postoperative period, long-term recovery requires clients to gradually participate in their own care. Reliance on the nurse without interest in learning self-care skills limits independence. Lack of involvement in wound management reflects reduced engagement in health promotion. • Turns side to side: Frequent repositioning reduces the risk of pressure injuries and improves circulation, which is particularly important for clients with vascular disease. Turning also helps prevent complications such as skin breakdown and respiratory congestion. Maintaining mobility within safe limits supports overall postoperative recovery. • Asks questions about self care: Asking about self-care indicates readiness to learn and participate in postoperative management and rehabilitation. Clients who seek information about wound care, prosthesis use, and lifestyle adjustments demonstrate motivation to adapt to life after amputation. Education and self-management are key components of long-term health maintenance. • Avoids looking at residual limb: Avoidance behaviors often indicate difficulty coping with body image changes following amputation. Refusing to look at the residual limb may delay emotional adjustment and rehabilitation progress. Acceptance of the limb is important for learning care techniques and preparing for prosthetic use.

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