A client who was recently diagnosed with Raynaud's disease is concerned about pain management. Which nursing instruction should the nurse provide?

Painful areas should be rubbed gently until the pain subsides

Enrolling in a pain clinic can provide pain relief alternatives

Wearing gloves when handling cold items guards against painful spasms

Return appointments will be needed for IV pain medication

Answer and Explanation

The Correct Answer is C

Choice A reason: Rubbing painful areas gently may provide temporary relief, but it is not a specific or effective long-term management strategy for Raynaud's disease. This advice could lead to further discomfort if not done correctly, and it does not address the primary trigger, which is cold exposure.

Choice B reason: Enrolling in a pain clinic can provide pain relief alternatives, but this is a general recommendation and not specific to the management of Raynaud's disease. While pain clinics can be helpful for chronic pain management, practical daily interventions are also crucial for this condition.

Choice C reason: Wearing gloves when handling cold items is a direct and practical way to prevent painful spasms associated with Raynaud's disease. This condition is characterized by episodes of reduced blood flow to the extremities, typically triggered by cold temperatures. By wearing gloves, the client can protect their hands from cold exposure, which helps prevent these painful spasms.

Choice D reason: Return appointments for IV pain medication are not typical for managing Raynaud's disease. Pain management for Raynaud's generally focuses on preventive measures and lifestyle adjustments to avoid triggers, rather than relying on IV medications for pain relief.

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Correct Answer is C

Explanation

Choice A reason: Encouraging deep breathing and coughing exercises is generally important postoperatively to prevent respiratory complications. However, it is not specific to eye surgery and does not address the immediate care needs following the removal of glass from the eye.

Choice B reason: Obtaining vital signs every 2 hours during hospitalization is a standard postoperative procedure to monitor for complications. While important, it is not an intervention specific to eye surgery and does not directly address the protection and care of the operated eye.

Choice C reason: Providing an eye shield to be worn while sleeping is a crucial intervention immediately following eye surgery. The eye shield protects the operated eye from accidental injury, rubbing, or pressure during sleep. This helps to prevent complications and promotes healing by keeping the eye safe from potential harm while the client is unaware.

Choice D reason: Teaching a family member to administer eye drops is important for ongoing postoperative care. However, it is not the immediate priority following the surgery. The first step is to ensure the protection of the eye, which can be achieved by providing an eye shield. Teaching about eye drop administration can be done later as part of the discharge instructions.

A. Overall fluid intake. B. Citrus fruit juices. C. Low-sodium sodas. D. Tea and hot chocolate.

Correct Answer is B

Explanation

Choice A reason: Overall fluid intake should not be limited. In fact, increasing fluid intake is generally recommended to help flush out the urinary system and prevent the formation of new stones. Adequate hydration is key to preventing urinary tract calculi.

Choice B reason: Citrus fruit juices, such as orange juice and grapefruit juice, should be limited because they can increase the acidity of the urine. High acidity can contribute to the formation of certain types of kidney stones, particularly uric acid stones. Limiting citrus fruit juices can help reduce the risk of stone recurrence.

Choice C reason: Low-sodium sodas are generally better than regular sodas, but it is important to note that many sodas, even low-sodium ones, contain high levels of phosphates and other substances that can contribute to kidney stone formation. While low-sodium sodas are a better option, the primary focus should be on overall healthy fluid choices.

Choice D reason: Tea and hot chocolate should be limited due to their oxalate content. Oxalates can bind with calcium in the urine to form calcium oxalate stones, which are the most common type of kidney stones. Limiting the intake of tea and hot chocolate can help reduce the risk of stone formation.

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A client who was recently diagnosed with Raynaud's disease is concerned about pain management. Which nursing instruction should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is recovering from the surgical removal of glass in the right eye. Which intervention should the nurse implement immediately following the procedure?

Correct Answer is C

Explanation

A client is recovering from an episode of urinary tract calculi. During discharge teaching, the client asks about dietary restrictions. In discussing fluid intake, the nurse should include which type of fluid limitation?

Correct Answer is B

Explanation

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