The nurse is performing a head-to-toe assessment on a resident in a long-term care facility with a history of angina pectoris.When assessing peripheral perfusion,the nurse will perform which intervention(s)? (Select all that apply.)

Question

Quizplus · Accepted Answer

When assessing peripheral perfusion, the nurse should note any hair loss on the lower legs, as this may indicate poor circulation. The nurse should also check pedal pulses to assess for adequate blood flow to the feet. Counting heart rate and describing rhythm, as well as auscultating blood pressure, are not directly related to assessing peripheral perfusion. Assessing pupil reaction is also not related to peripheral perfusion.

The Nurse Is Performing a Head-To-Toe Assessment on a Resident