A nurse is taking an admission history from a client who reports Raynaud's disease. Which of the following assessment findings should the nurse identify as a potential trigger for exacerbations of Raynaud's?
A history of herpes zoster
Taking amlodipine for hypertension
Using a nicotine transdermal patch
Eating a strict vegetarian diet
The Correct Answer is C
C. Nicotine is a vasoconstrictor, meaning it causes narrowing of blood vessels. Therefore, using a nicotine transdermal patch can exacerbate Raynaud's attacks by promoting vasoconstriction and reducing blood flow to the extremities.
A. While herpes zoster (shingles) is a viral infection caused by the varicella-zoster virus, it is not directly associated with triggering Raynaud's attacks.
B. Amlodipine is a calcium channel blocker medication commonly used to treat hypertension.
D. While diet can potentially influence overall health and vascular function, there is no direct evidence to suggest that a strict vegetarian diet would trigger exacerbations of Raynaud's disease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Limiting the time that visitors spend with the client is a reasonable precaution to reduce their overall radiation exposure. Prolonged exposure to radiation can increase the risk of adverse effects. By limiting visitors to a specific time frame, the nurse can help control their exposure while still allowing for social support and companionship.
A. Discarding radioactive materials in regular trash cans can pose significant risks to sanitation workers, the environment, and public health.
B. Proper disposal of soiled linens contaminated with radioactive materials is essential to prevent radiation exposure to others. Soiled linens should be handled and disposed of according to institutional protocols for managing radioactive waste.
C. Maintaining a safe distance from the client is an important radiation safety precaution. However, this alone may not be sufficient to ensure adequate protection, depending on the specific circumstances of the treatment and the level of radiation emitted by the sources.
Correct Answer is A
Explanation
A. After breaking the top of the ampule to access the medication, the nurse should dispose of the top portion safely in a sharps container to prevent accidental needlestick injuries and ensure proper disposal of sharps waste.

B. Expelling air into the ampule can increase the pressure inside, potentially causing medication to spill out or splatter when the ampule is opened.
C. To open an ampule safely, the nurse should use an ampule opener around the neck of the ampule to protect their hands from potential injury. By breaking off the top with both hands, the nurse can minimize the risk of accidental cuts or lacerations.
D. Withdrawing medication from an ampule requires the use of a needle and syringe. However, some medications may be supplied in ampules with pre-attached needleless systems for withdrawal.
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