when doing a shift assessment on a newly admitted client, the nurse notes lack of hair on the right lower extremity; thickened nails on the right lower digits; dry, flaky skin on the right lower extremity; and diminished tibial pulses bilaterally and absent pedal pulses. what nursing diagnosis should be added to the plan of care?

Diminished oxygen, which prevents capillary-level nourishment of tissues, reduced hair on the extremity, thick nails, dry skin, weak or absent pulses, pale skin, a chilly, reduced sensation, and extended capillary refill are all indications of altered tissue perfusion caused by reduced blood flow. The alternative choices serve to dilute the question.

Airway, breathing, and circulation are all part of the shift evaluation. Typically, airway evaluations look at patient secretions, artificial airways, noise, and coughing. Typically evaluated in a breathing exam are air intake and movement, oxygen requirement, labour of breathing, ventilator dependence, and breath sound.

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