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?

"I will try to anticipate and avoid stressful situations."

"I will keep my house at a cool temperature."

"I will complete the smoking cessation program I started."

"I will wear gloves when removing food from the freezer."

Answer and Explanation

The Correct Answer is B

B) "I will keep my house at a cool temperature": This statement indicates a need for further teaching because maintaining a warm environment is recommended for individuals with Raynaud's phenomenon to prevent vasoconstriction and reduce the risk of attacks. Cold temperatures can trigger symptoms in individuals with this condition. Therefore, advising the client to keep their house warm is appropriate and aligns with preventive measures for Raynaud's phenomenon.

A) "I will try to anticipate and avoid stressful situations": Stress management is an essential aspect of managing Raynaud's phenomenon, as stress can trigger vasospasms. Anticipating and avoiding stressful situations can help reduce the frequency and severity of symptoms.

C) "I will complete the smoking cessation program I started": Smoking cessation is crucial for individuals with Raynaud's phenomenon because smoking narrows blood vessels and exacerbates symptoms. Completing a smoking cessation program is a positive step toward reducing the risk of vasospasms.

D) "I will wear gloves when removing food from the freezer": Wearing gloves when handling cold objects, such as food from the freezer, is recommended for individuals with Raynaud's phenomenon to prevent triggering attacks due to exposure to cold temperatures. This statement demonstrates an understanding of preventive measures for managing the condition.

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Correct Answer is C

Explanation

(A) Meloxicam 5 mg PO once daily: Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and inflammation. It does not typically affect potassium levels.

(B) Acyclovir 400 mg PO twice daily: Acyclovir is an antiviral medication used to treat viral infections such as herpes simplex and varicella-zoster. It does not typically affect potassium levels.

(c) Furosemide 80 mg PO daily: Furosemide is a loop diuretic that promotes diuresis by inhibiting the reabsorption of sodium and chloride in the ascending loop of Henle and distal renal tubule. This can lead to increased excretion of potassium in the urine, potentially causing hypokalemia.

(D) Cimetidine 300 mg PO four times per day: Cimetidine is a histamine H2 receptor antagonist used to treat and prevent certain types of ulcer, and to treat conditions that cause the stomach to produce too much acid. It does not typically affect potassium levels.

A. Bradycardia B. Hyperventilation C. Increased blood pressure D. Cool, clammy skin

Correct Answer is B

Explanation

(A) Bradycardia: Bradycardia, or a slower than normal heart rate, is not typically associated with metabolic acidosis. Metabolic acidosis often leads to an increased heart rate (tachycardia) as the body tries to compensate for the acid-base imbalance.

(B) Hyperventilation: This is the most appropriate answer. Hyperventilation is a common response to metabolic acidosis. The body attempts to compensate for the high acid levels by increasing the rate and depth of breathing to expel more carbon dioxide (which is acidic) and raise the blood pH.

(C) Increased blood pressure: Metabolic acidosis does not typically cause an increase in blood pressure. In fact, severe acidosis can lead to vasodilation and a decrease in blood pressure.

(D) Cool, clammy skin: While cool, clammy skin can be a sign of shock or other serious conditions, it is not a typical manifestation of metabolic acidosis. However, in severe cases, metabolic acidosis can lead to shock, which might present with cool, clammy skin.

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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?

Nursing Test Bank

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