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    Hesi Rn d446 adult care 0A1: med surg proctored exam (wgu)

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

    Explanation & Rationale

    Rationale: • Executes pull ups on trapeze bar: Encourages upper body strength, mobility, and independence, supporting safe transfers and preventing deconditioning post-amputation. It also helps maintain cardiovascular endurance and overall functional ability. • Turns side to side: Promotes skin integrity, prevents pressure injuries, and improves circulation, which is especially important in patients with peripheral vascular disease. Regular repositioning reduces the risk of tissue ischemia and promotes healing. • Avoids looking at residual limb: Indicates denial or body image issues, which can interfere with self-care and rehabilitation; considered a negative health promotion behavior. It may delay acceptance of amputation and participation in therapy exercises. • Inquires about blood pressure: Demonstrates awareness and engagement in monitoring cardiovascular health, important for managing hypertension and peripheral vascular disease. This behavior reflects active involvement in disease prevention and self-management. • Asks questions about self care: Shows motivation to learn and participate in post-amputation care, enhancing recovery and independence. This proactive approach supports patient empowerment and long-term health outcomes. • Requests nurse to perform wound care: While needing assistance is normal initially, consistently deferring care can reduce independence and delay self-management skills; considered a negative behavior in health promotion. It may also limit the patient’s confidence in performing essential post-operative care tasks.

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