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 C

Explanation

Wearing closed-toe shoes when walking can help protect the feet from injuries. However, it does not directly address the issue of numbness and reduced sensation due to severe peripheral neuropathy.

Choice B rationale

Soaking feet daily to remove pathogens can help maintain hygiene, but it does not directly address the issue of numbness and reduced sensation due to severe peripheral neuropathy.

Choice C rationale

Examining your feet daily is a crucial intervention for patients with severe peripheral neuropathy. Due to the numbness and reduced sensation, patients might not notice injuries or changes in their feet. Regular self-examination can help detect any abnormalities early, preventing further complications.

Choice D rationale

Using lotion on all areas of the feet for moisture can help prevent dryness and cracking of the skin, but it does not directly address the issue of numbness and reduced sensation due to severe peripheral neuropathy.

A. 55-year-old man with a past medical history of a myocardial infarction. B. 45-year-old woman post laparoscopic knee replacement. C. 65-year-old woman post major open abdominal surgery. D. 50-year-old man with a peptic ulcer.

Correct Answer is C

Explanation

Choice A rationale

While a past medical history of myocardial infarction does increase the risk of deep vein thrombosis (DVT), it is not the highest risk factor among the options provided. Other factors such as immobility, surgery, and certain medical conditions can pose a higher risk.

Choice B rationale

Postoperative patients, such as those who have had a laparoscopic knee replacement, are at an increased risk for DVT due to periods of immobility and changes in blood flow and clotting.

However, the risk is not as high as in patients who have undergone major open abdominal surgery.

Choice C rationale

Patients who have undergone major open abdominal surgery are at the highest risk for the development of DVT among the options provided. The surgery itself, along with the postoperative period of immobility, significantly increases the risk of DVT34567.

Choice D rationale

While peptic ulcers can be associated with certain risk factors for DVT, such as age and immobility due to pain, they do not pose as high a risk as major open abdominal surgery.

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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

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Naxlex Comprehensive Predictor Exams

A patient diagnosed with diabetes has severe peripheral neuropathy resulting in numbness and reduced sensation of the feet. What intervention should the nurse teach the patient to prevent injury as a result of this complication?

Correct Answer is C

Explanation

Choice B rationale

Choice C rationale

Choice D rationale

The nurse is caring for the following four clients on the nursing unit. Which client is at the highest risk for the development of deep vein thrombosis?

Correct Answer is C

Explanation

Choice A rationale

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?