A nurse is teaching a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?

I will need to massage my legs frequently to prevent a buildup of fluid

I will keep my legs in a dependent position

I will decrease my activity to prevent added stress on my legs

I will inspect my legs every day for changes in color, size and temperature

Answer and Explanation

The Correct Answer is D

A. Massaging the legs frequently can exacerbate symptoms of peripheral venous disease by increasing venous pressure and worsening edema. It is not recommended for managing this condition.

B. Keeping the legs in a dependent position can further impair venous return and exacerbate symptoms. Elevating the legs above the level of the heart when possible is recommended to reduce venous congestion.

C. Decreasing activity can lead to deconditioning and worsen symptoms over time. Encouraging regular, moderate physical activity is important for improving venous circulation and overall vascular health.

D. Inspecting the legs daily for changes in color, size, and temperature is an essential component of managing peripheral venous disease. Changes such as skin discoloration, swelling, or increased warmth can indicate worsening venous insufficiency or the development of complications such as venous ulcers. Early detection allows for prompt intervention and prevention of complications.

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Correct Answer is C

Explanation

A. "I notice the ringing when I'm not concentrating on something." This statement suggests that the client notices the tinnitus but does not imply a significant impact on their well-being. It indicates that the tinnitus occurs when the client is not focused on tasks, which may not necessarily affect their overall functioning or well-being.

B. "I am still able to complete my work in a timely manner." This statement indicates that the client can still function adequately in their work despite experiencing tinnitus. While this may suggest some level of coping, it does not directly address the impact of tinnitus on the client's overall well-being.

C. "The ringing in my ears is distracting." This is the correct answer. This statement indicates that the tinnitus is distracting to the client, which suggests that it may affect their concentration, focus, or overall quality of life. The distraction caused by tinnitus can significantly impact daily activities and well-being.

D. "Hopefully a treatment for this ringing in my ears will help." While this statement acknowledges the presence of tinnitus and the desire for treatment, it does not directly address the impact of tinnitus on the client's well-being. It focuses more on the hope for relief through treatment rather than the current impact on their quality of life.

A. Loss of sensation and cognition difficulties B. Development of emotional disorders and acute pain C. Body dysmorphia and neurofibrillary tangles D. Decreased appetite and a lack of sleep

Correct Answer is A

Explanation

A. Loss of sensation and cognition difficulties: Secondary conditions commonly associated with traumatic brain injury (TBI) include sensory impairments such as loss of sensation, as well as cognitive difficulties such as memory loss, attention deficits, and impaired executive functioning. These issues arise due to the damage to brain tissue caused by the initial injury and can have significant impacts on the client's overall function and quality of life.

B. Development of emotional disorders and acute pain : While emotional disorders such as depression, anxiety, and post-traumatic stress disorder (PTSD) are common following TBI, acute pain is not typically considered a primary secondary condition associated with TBI. Chronic pain may develop as a secondary condition, but acute pain is more often associated with the immediate aftermath of the injury.

C. Body dysmorphia and neurofibrillary tangles : Body dysmorphia, a condition characterized by obsessive preoccupation with perceived flaws in physical appearance, and neurofibrillary tangles, abnormal protein aggregates found in the brains of individuals with neurodegenerative disorders such as Alzheimer's disease, are not typically associated with TBI.

D. Decreased appetite and a lack of sleep : While changes in appetite and sleep disturbances may occur as secondary symptoms of TBI, they are not as commonly anticipated as loss of sensation and cognition difficulties. These issues may arise due to disruptions in brain function or changes in lifestyle following the injury.

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A nurse is teaching a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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