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area, supply of oxygen and nutrients to area cells and the developrnent of stasis ulcers, which prolonged

standing, the legs blood flow to the legs. It is made Peripheral arter legs are dependent. Skin becomes
cool. dry. circulation is poorest. Clients should be advised that a progressive walking program will aid the
resulting in inadequate development of collateral circulation

(Options 1, 2most distal end of the bodybecome edematous with dull pain due to venous engorgement
The skin of the lower are typically found around the medial side of the ankle. By the end of the day or
after leg becomes thick with a brown pigmentation Educational objecbve: The pain of peripheral artery
y, with critical artenal narrowing, pain can be present at rest and is typically described as 'burning pain"
that is worsened by elevating the legs and improved when thedisease is arterial in nature and results
from decreased

. Venous ulcers form over the medial malleolus, and compression bandaging is ne, and 3)
Chatherosclerotic plaques (made up of fat and fibrin). Pain due to decreased blood flow is the most
common symptorn of PAD. Crarnping pain in the muscles of the legs during exercise. known as
intermittent clauronic venous insufficiency refers to inadequate venous blood return to the heart. Too
much venous blood remains in the lower legs, and venous pressure increases This increas. venous
pressure inhibits arterial blood flow to the worse with leg elevation. Arterial ulcers are formed at the
basic PR, followed by activating the emergency response system and obtaining an automated external
defibrillator life support sequence is cornpressions. aimay, a. breathing (mnemonic - CAB). High-quality
CPR is associated with improved client outcomes and begins with high-quality chest compressions (ie.
100-120/min, 2-2.4 in [5-6 cm] deep). Any unwitnessed collapse should be treat. with 2 minutes of C If
no have a pulse shock eded to reduce the pressure.

The is advised, the nurse who but are not breathing normally. For clients with no pulse, the nurse should
deliver cycles of 30 compressions followed by 2 rescue breaths.

(Option 4) The jaw-thrust should resume high-quality chest compressions immediately (Option 3).

(Option 1) Chest compressions should not be interrupted for more than 10 seconds when assessing for a
pulse and chest rise/fall. (Option 2) Rescue breaths every 5-6 seconds (10-12 brea(hs/min) are given to
clients Repositioning the jaw forward opens the airway to allow for assessment and delivery of rescue
breathing. Assessing the airway is not indicated at this time.

Educational objectiv

maneuver is used instead of the head-tilt/chin-lift method client, the nurse should begin with 2 minutes
of CPR in cycles of 30 high-quality chest compressions to 2 rescue breaths, followed in clients who may
have a head/spinal injury.

e: In basic life support foautomated external defibrillator If no shock is advised, the nurse should resume
chest compressions immediatr an unresponsive, pulseless by activating the emergency response system
and obtaining an ely.
disease (PAD [previously called penpheral vascular disease]) refers to arteries that have thickened, have
lost elasticity due to calcification of the artery walls; and are narrowed by dication. is usually relieved
with rest However shiny, and hairless (due to lack of oxygen). Ulcers and gangrene occur usually at the
most distal part of the body; where

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