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A family of a client who has a medical history of stroke, hyperlipidemia, and peptic ulcer disease arrives at the memory care clinic with concerns about their loved one. The family states that the client has experienced worsening memory loss and forgetfulness over the last 6 months. The nurse is concerned the client is experiencing vascular dementia, due to which of the following factors?

The client's history of hyperlipidemia, because hyperlipidemia can lead to dementia due to blocked neuron communication throughout the body.

The client's history of peptic ulcer disease, because peptic ulcer disease can lead to dementia due to the loss of nerve cells in the stomach.

The client's history of peptic ulcer disease, because peptic ulcer disease can lead to dementia by destroying neuron communication in the stomach.

The client's history of stroke, because stroke can lead to dementia due to changes in the blood vessels of the brain.

Answer and Explanation

The Correct Answer is D

A. While hyperlipidemia can contribute to vascular damage, it primarily increases the risk of cardiovascular disease and stroke, rather than directly blocking neuron communication to cause dementia.
B. Peptic ulcer disease is not associated with dementia, and the loss of nerve cells in the stomach does not lead to cognitive decline.
C. Peptic ulcer disease does not cause dementia by impacting neuron communication in the stomach.
D. Vascular dementia is often caused by stroke due to reduced blood flow or damage to the blood vessels in the brain, leading to cognitive decline and memory loss.

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Correct Answer is D

Explanation

A. While seeking help for transportation may be prudent, this statement does not specifically indicate understanding of the risks associated with arrhythmogenic cardiomyopathy.
B. Frequent hiccups are not a typical concern associated with this condition and do not relate to the risk of sudden cardiac death.
C. Constipation is not directly linked to arrhythmogenic cardiomyopathy or its risks.
D. Avoiding competitive recreational sports is critical as it minimizes the risk of arrhythmias and potential sudden cardiac death, indicating a good understanding of the condition’s risks.

A. "I will wear gloves when removing food from the freezer." B. "I will complete the smoking cessation program I started." C. "I will try to anticipate and avoid stressful situations." D. "I will keep my house at a cool temperature."

Correct Answer is D

Explanation

A. Wearing gloves when removing food from the freezer is appropriate and helps prevent exposure to cold, which can trigger symptoms of Raynaud's phenomenon.
B. Completing a smoking cessation program is beneficial, as smoking can exacerbate symptoms of Raynaud's.
C. Avoiding stressful situations is advisable since stress can trigger vasoconstriction and exacerbate symptoms.
D. Keeping the house at a cool temperature is not recommended, as cold environments can provoke Raynaud's symptoms; the client should aim to maintain a warm environment to minimize triggers.

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to a client who has arrhythmogenic cardiomyopathy about the risk for sudden cardiac death. Which of the following client statements indicates to the nurse an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of Raynaud's phenomenon. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

Correct Answer is D

Explanation

A nurse is assisting in the plan of care for a client who is receiving digoxin to treat heart failure. Which of the following actions should the nurse plan to take?

A nurse is assisting with teaching a group of nursing students about the pathophysiology of the spinal cord. Which of the following statements by a nursing student indicates understanding?

A nurse is reinforcing teaching with a client about risk factors for heart disease. Which of the following risk factors is modifiable? (Select All that Apply.)

A nurse is reinforcing teaching with a client who has peripheral arterial disease and reports pain when walking. The nurse should identify that the client can use which of the following herbal supplements to increase pain-free walking distance?

A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?

A nurse is caring for a client in the emergency department who has a preliminary diagnosis of a transient ischemic attack (TIA). Which of the following diagnostic testing should the nurse anticipate the provider to prescribe?

While admitting a client for a cardiac catheterization, the nurse asks the client about allergies. Which of the following client food allergies should the nurse report to the provider prior to the procedure?