Question

The nurse has just received a.m. shift report. Which client would the nurse assess first?

a. The client with venous stasis ulcer who is complaining of pain.
b. The client with varicose veins who has dull aching muscle cramps.
c. The client with arterial occlusive disease who cannot move the foot.
d. The client with deep vein thrombosis who has a positive Homans' sign.

Answer 1

The nurse would assess the client with arterial occlusive disease who cannot move the foot first, as this is an emergent situation requiring immediate intervention.

Step-by-step explanation:

The nurse would assess the client with arterial occlusive disease who cannot move the foot first.

In this scenario, arterial occlusive disease can lead to tissue ischemia and necrosis, which is an emergent situation requiring immediate intervention.

The client with arterial occlusive disease may have severe pain, loss of sensation, and lack of pulses in the affected limb, which indicate compromised blood flow. Prompt assessment and intervention are crucial to prevent further damage and promote limb salvage.