A client diagnosed with Raynaud’s disease is experiencing severe pain and spasms in the fingers and toes of their hands.
What advice should the nurse include in the discharge instructions for this client?

Obtain a pair of heavy-duty gloves to wear for cold exposures.

Refrain from going outdoors during the winter months.

Raise the hands above the head to relieve the spasms.

Use small rubber balls to exercise your hands and fingers daily.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Raynaud’s disease is a condition that affects blood flow to the extremities, including the fingers and toes, in response to cold temperatures or stress. Wearing heavy-duty gloves during cold exposures can help to keep the hands warm and reduce the risk of a Raynaud’s attack.

Choice B rationale

While avoiding cold temperatures can help to prevent Raynaud’s attacks, it is not always practical or possible for individuals to refrain from going outdoors during the winter months.

Choice C rationale

Raising the hands above the head is not typically recommended to relieve spasms associated with Raynaud’s disease.

Choice D rationale

Using small rubber balls to exercise the hands and fingers daily may be beneficial for some individuals with Raynaud’s disease, but it is not typically the primary recommendation for managing this condition.

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Correct Answer is D

Explanation

Choice A rationale

While discussing the need for weight loss can be an important part of managing Type 2 diabetes, it should not necessarily be the initial step when developing an educational plan. Weight loss can help improve blood glucose control, but it’s just one aspect of a comprehensive diabetes management plan15.

Choice B rationale

Inviting the client’s family to participate in the program can be beneficial, as it can provide additional support for the client. However, the initial step in developing an educational plan should focus on the client’s understanding and perception of their diagnosis15.

Choice C rationale

Demonstrating how to check glucose using capillary blood glucose monitoring is an important skill for managing Type 2 diabetes. However, before teaching this skill, it’s important to assess the client’s understanding and readiness to learn15.

Choice D rationale

Assessing the client’s perception of what it means to live with diabetes should be the initial step when developing an educational plan. Understanding the client’s perspective can help tailor the education to meet their needs and improve their ability to manage their diabetes15.

A. 0930 B. 1000 C. 2030 D. 2100

Correct Answer is B

Explanation

Choice A rationale

Drawing the peak level at 0930, which is 30 minutes after the start of the infusion, would be too early. The medication would not have had enough time to reach its peak level in the blood.

Choice B rationale

The peak level of gentamicin is typically evaluated 30 minutes after the completion of the infusion. Since the infusion is administered over 1 hour, the peak level would be expected to be drawn at 10001.

Choice C rationale

Drawing the peak level at 2030, which is 12 hours after the start of the infusion, would not provide an accurate representation of the peak level of gentamicin. This is because the medication would have been metabolized and excreted over this period.

Choice D rationale

Drawing the peak level at 2100, which is 12.5 hours after the start of the infusion, would not provide an accurate representation of the peak level of gentamicin. This is because the medication would have been metabolized and excreted over this period.

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A client diagnosed with Raynaud’s disease is experiencing severe pain and spasms in the fingers and toes of their hands. What advice should the nurse include in the discharge instructions for this client?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has recently been diagnosed with Type 2 diabetes. What should be the nurse’s initial step when developing an educational plan?

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A patient is receiving gentamicin every 12 hours IVPB for an infection. The nurse has administered the 0900 dose, which is prescribed to run over 1 hour. The physician prescribed peak and trough levels to be drawn. When should the nurse expect to draw the peak level?

Correct Answer is B

Explanation

Choice B rationale

Choice C rationale

Choice D rationale

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A client diagnosed with Raynaud’s disease is experiencing severe pain and spasms in the fingers and toes of their hands.
What advice should the nurse include in the discharge instructions for this client?