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 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.

A. Small for gestational age B. Cesarean birth C. Ventricular septal defect D. Maternal history of asthma

Correct Answer is B

Explanation

A. Small for gestational age:

While being small for gestational age can contribute to respiratory difficulties in newborns, it is not directly associated with respiratory distress syndrome or respiratory acidosis. Other factors, such as prematurity or intrauterine growth restriction, may play a more significant role.

B. Cesarean birth:

Cesarean birth can predispose newborns to respiratory difficulties, including respiratory distress syndrome. During vaginal birth, the compression of the chest during passage through the birth canal helps expel lung fluid, whereas babies born via cesarean section may have more retained lung fluid, leading to respiratory distress.

C. Ventricular septal defect:

Ventricular septal defect is a congenital heart defect and is not directly associated with respiratory distress syndrome or respiratory acidosis. However, congenital heart defects can affect the cardiovascular system, leading to respiratory compromise in some cases.

D. Maternal history of asthma:

While maternal asthma can increase the risk of respiratory problems in newborns, it is not directly related to respiratory distress syndrome or respiratory acidosis. Maternal asthma may increase the likelihood of the newborn developing asthma or other respiratory conditions later in life.

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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

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has alcohol use disorder and is experiencing metabolic acidosis. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

A nurse is collecting data from a newborn who has respiratory distress syndrome and is experiencing respiratory acidosis. Which of the following risk factors predisposes the newborn to respiratory difficulties?

Correct Answer is B

Explanation

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