A Community nurse is doing a class teaching measures to prevent peripheral arterial disease. Select all that apply teaching for this topic. (Select All that Apply.)

Decreased exercises

Diabetes management

Smoking cessation

Hyperlipidemia control

Answer and Explanation

Correct Answer : B,C,D

A) Decreased exercises: This is not a recommended measure for preventing peripheral arterial disease (PAD). Regular physical activity is important in managing PAD and preventing its progression. Exercise helps improve circulation and can alleviate symptoms.
B) Diabetes management: Effective management of diabetes is crucial for preventing PAD. High blood sugar levels can damage blood vessels over time, increasing the risk of PAD. Managing blood glucose levels helps reduce this risk.
C) Smoking cessation: Smoking is a major risk factor for PAD. It contributes to the narrowing and hardening of arteries. Quitting smoking is essential for preventing PAD and improving overall vascular health.
D) Hyperlipidemia control: Managing high cholesterol levels is important in preventing PAD. Elevated lipid levels contribute to the buildup of plaques in arteries, which can lead to PAD. Controlling hyperlipidemia through diet, exercise, and medication can reduce this risk.

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Correct Answer is "{\"xRanges\":[null,null],\"yRanges\":[null,null]}"

Explanation

Answer: The hot spot in the right lower quadrant that corresponds to this location.

Locate the right anterior superior iliac spine (the bony prominence on the right side of the pelvis). Identify the umbilicus (navel). McBurney's point is roughly one-third of the distance from the anterior superior iliac spine to the umbilicus.

A. Pectoralis major tear B. Arthritis C. Rotator Cuff Tendinitis D. Gout

Correct Answer is C

Explanation

A) Pectoralis major tear: A tear of the pectoralis major muscle would likely cause pain and weakness, particularly in activities involving pushing or lifting. While it may affect shoulder movements, it is less likely to specifically impair the ability to reach behind the back and touch the shoulder blade compared to rotator cuff issues.
B) Arthritis: Arthritis, particularly osteoarthritis, can cause decreased range of motion and pain in the shoulder joint. However, the specific movement described—placing one hand behind the back to touch the shoulder blade—is most commonly affected by issues with the rotator cuff rather than arthritis alone.
C) Rotator Cuff Tendinitis: Rotator cuff tendinitis is a common cause of shoulder pain and decreased range of motion, particularly affecting movements that require lifting the arm or reaching behind the back. Tendinitis in the rotator cuff can lead to pain and difficulty performing the movement described due to inflammation and impingement of the tendons.
D) Gout: Gout is a type of arthritis caused by the accumulation of uric acid crystals in the joints, often affecting the big toe but can affect other joints. While it can cause joint pain and inflammation, it is less likely to specifically impair the shoulder movement described compared to rotator cuff tendinitis.

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A Community nurse is doing a class teaching measures to prevent peripheral arterial disease. Select all that apply teaching for this topic. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point. (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Correct Answer is "{\"xRanges\":[null,null],\"yRanges\":[null,null]}"

Explanation

The nurse asks the client to "place one hand behind the back and touch the shoulder blade" in the position shown. The patient explains he cannot perform the movement. What MOST likely is causing the patient decreased range of motion (ROM) in this joint?

Correct Answer is C

Explanation

A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?

A patient is diagnosed with a Pneumothorax on the right lung. During the assessment, when percussing this area the nurse expects to find the percussion note as:

When the nurse is assessing a client's mental status as part of the neurological examination, which question would be most appropriate to ask?

A client who suffered a stroke 6 months ago and participating in a rehab program is able to actively move the both lower legs against gravity and some resistance. How should the nurse document this finding using the muscle strength grading scale?

Which cranial nerves are involved in eye movements? Select all that apply.

During an assessment of the cranial nerves, a client reports spontaneously losing balance. The nurse should focus additional assessment on which cranial nerve?