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 A

Explanation

A. Delirium: Delirium is characterized by a sudden onset of confusion, agitation, and fluctuating levels of consciousness. It often develops over a short period, such as hours to days, and is typically associated with an underlying medical condition, medication, or infection. The patient's rapid change from being oriented and calm to confused and agitated suggests a sudden onset, which is indicative of delirium.
B. Sundowning: Sundowning refers to a pattern of increased confusion and agitation that occurs in the late afternoon or evening, primarily in individuals with dementia. While it involves fluctuations in mental status, it does not usually present with a sudden onset of symptoms as described in this case.
C. Alzheimer’s: Alzheimer’s disease is a form of chronic dementia characterized by gradual and progressive cognitive decline over months to years. The sudden onset of confusion and agitation does not align with the gradual progression typical of Alzheimer's disease.
D. Dementia: Dementia is a general term for a decline in cognitive ability that affects daily life, usually developing gradually over time. Unlike delirium, dementia does not present with a sudden change in behavior or mental status, making it less likely in this scenario where the change was abrupt.

A. BMI of 20 B. Peripheral neuropathy C. Immobility D. Hypoperfusion

Correct Answer is ["B","C","D"]

Explanation

A. BMI of 20: While a BMI of 20 is on the lower end of the normal range, it does not necessarily indicate a high risk for pressure injuries. Extreme low BMI may pose a risk, but a BMI of 20 alone is not a definitive factor in increasing pressure injury risk compared to the other listed conditions.
B. Peripheral neuropathy: Peripheral neuropathy impairs sensation in the skin, which reduces the client’s ability to feel pressure, pain, or discomfort. This diminished sensory perception increases the risk of developing pressure injuries as the client might not be aware of or respond to pressure-related issues.
C. Immobility: Immobility, or limited mobility, significantly raises the risk of pressure injuries because it prevents the client from frequently changing positions. Prolonged pressure on specific body areas can impede blood flow and lead to skin breakdown.
D. Hypoperfusion: Hypoperfusion indicates reduced blood flow to tissues, which can contribute to tissue ischemia and increase the risk of pressure injuries. Inadequate blood flow prevents adequate oxygen and nutrient delivery to the skin, making it more susceptible to damage.

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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.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is performing a pressure injury risk assessment for a client. Which of the following findings increases the client's risk of a pressure injury?

Correct Answer is ["B","C","D"]

Explanation

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

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