Patient Data Exhibits Select the assessment findings that indicate ineffective peripheral tissue perfusion for this client.

A. Edema: Swelling along the incision and residual limb can indicate compromised venous or lymphatic return, which may reduce effective peripheral tissue perfusion. Persistent edema can impair oxygen and nutrient delivery to tissues, increasing risk for delayed healing or further ischemia. B. Oxygen saturation: The client’s oxygen saturation is 95% on room air, which is within an acceptable range. This reflects adequate systemic oxygenation and does not specifically indicate ineffective peripheral perfusion at the extremity level. C. Pale skin: Pallor in the residual or remaining limb suggests decreased arterial blood flow, which is a direct indicator of reduced tissue perfusion. Pale skin is a classic sign of ischemia in peripheral vascular disease. D. Capillary refill: Capillary refill greater than 4 seconds in the left leg reflects slow peripheral circulation, confirming inadequate tissue perfusion. Delayed refill is an objective, measurable sign of compromised arterial blood flow. E. Blood pressure: The client’s blood pressure is 126/84 mm Hg, which is within normal limits. While systemic hypotension can affect perfusion, a normal blood pressure does not indicate ineffective peripheral tissue perfusion in this case.