The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the nurse include to prevent an attack?

Keep affected body areas covered at all times.

Avoid stimulation that causes vasoconstriction.

Get plenty of outdoor exercise all year.

Take vasopressors to prevent exacerbation of symptoms.

Answer and Explanation

The Correct Answer is B

A. Keep affected body areas covered at all times: While keeping warm can help prevent attacks, it is not practical or necessary to cover the areas all the time, especially in warmer environments.
B. Avoid stimulation that causes vasoconstriction: Raynaud disease is triggered by factors that cause vasoconstriction, such as exposure to cold or stress. Avoiding these triggers is key to preventing attacks.
C. Get plenty of outdoor exercise all year: Exercise is beneficial for general health but exposure to cold during outdoor activities can trigger Raynaud's attacks, especially in cold weather.
D. Take vasopressors to prevent exacerbation of symptoms: Vasopressors cause vasoconstriction and would likely worsen Raynaud's symptoms rather than preventing them.

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Correct Answer is B

Explanation

A. Give the patient a glass of water.: Giving the patient water without assessing their swallowing ability can be dangerous due to the risk of aspiration.
B. Check the patient's dysphagia screen.: Assessing for dysphagia is crucial because stroke patients often have impaired swallowing, which increases the risk of aspiration and choking.
C. Consult speech pathology.: Consulting a speech pathologist is important for a comprehensive swallowing assessment, but it is not the immediate action when a patient requests water.
D. Teach that stroke patients are nothing by mouth (NPO).: Not all stroke patients are NPO. This decision is based on the patient's ability to swallow safely, determined by a dysphagia screen.

A. "Arteriolar vasoconstriction occurs, most often in the fingertips with symptoms of coldness, pain, and pale skin." B. "Peripheral vasospasm occurs in the lower limbs as a result of valve damage from long-standing venous stasis." C. "Arterial vessel occlusion is caused by many clots that develop in the heart and are carried to the bloodstream." D. "Thrombosis related to prolonged vasoconstriction caused by overexposure to the cold occurs."

Correct Answer is A

Explanation

A. "Arteriolar vasoconstriction occurs, most often in the fingertips with symptoms of coldness, pain, and pale skin.": Raynaud disease involves episodes of vasospasm in the small arteries and arterioles, primarily in the fingers and toes, leading to symptoms like coldness, pain, pallor, and sometimes color changes in the skin.
B. "Peripheral vasospasm occurs in the lower limbs as a result of valve damage from long-standing venous stasis.": This description is more characteristic of venous insufficiency or chronic venous stasis rather than Raynaud disease, which affects the small arteries in the extremities.
C. "Arterial vessel occlusion is caused by many clots that develop in the heart and are carried to the bloodstream.": This describes an embolic event rather than the vasospasm typical of Raynaud disease.
D. "Thrombosis related to prolonged vasoconstriction caused by overexposure to the cold occurs.": While exposure to cold can trigger Raynaud's symptoms, the primary issue is episodic vasospasm, not thrombosis. Raynaud’s is not characterized by blood clot formation.

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The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the nurse include to prevent an attack?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is diagnosed with a stroke is requesting a glass of water. Which action is appropriate for the nurse to take?

Correct Answer is B

Explanation

A patient has been diagnosed with Raynaud's disease and asks the nurse what occurs with this disease. Which of the following is the most appropriate response?

Correct Answer is A

Explanation

The nurse is caring for a patient who presents to the emergency department with right-sided weakness and dysphasia. Which type of stroke would the nurse suspect?

The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

The nurse is caring for a group of patients. Which patient is the priority?

A patient asks the nurse how to prevent a stroke. Which statement by the nurse is correct? Select all that apply.

Which factor would be the first step in the management of hypertension?

Which term(s) would the E's in the LIFESTYLE acronym represent when reinforcing teaching to a patient about lifestyle modifications? Select all that apply.

Which of the following are clinical manifestations of arterial occlusion? Select all that apply.

A patient is having difficulty swallowing following a stroke, and a swallowing evaluation is ordered. Which nursing interventions might be recommended to help prevent aspiration during eating? Select all that apply. (Select All that Apply.)