Which of the following findings in a patient with Raynaud’s disease would indicate a need for further teaching?

The patient smokes cigarettes.

The patient eats bananas twice a day.

The patient wears mittens outside.

The patient takes calcium channel blockers.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Smoking cigarettes can exacerbate the symptoms of Raynaud’s disease by causing further constriction of the blood vessels. Therefore, a patient who continues to smoke cigarettes may need further education about the management of Raynaud’s disease.
Choice B rationale
Eating bananas twice a day is not typically a concern for patients with Raynaud’s disease.
Choice C rationale
Wearing mittens outside, especially in cold weather, is a recommended strategy for managing Raynaud’s disease. It can help to prevent episodes of Raynaud’s by keeping the hands warm and reducing exposure to cold temperatures.
Choice D rationale
Taking calcium channel blockers is a common treatment for Raynaud’s disease. These medications help to relax and open up the small blood vessels in the hands and feet, reducing the severity and frequency of Raynaud’s episodes.

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Correct Answer is D

Explanation

Choice A rationale
Increasing glomerular filtration would result in increased urine output, not decreased venous return. This action is not directly related to the therapeutic action of nitroglycerin.
Choice B rationale
While enhancing the contractility of the myocardium would increase oxygen delivery, this is not the primary action of nitroglycerin. Nitroglycerin primarily works by dilating the blood vessels, which reduces the amount of work the heart has to do and increases the blood supply to the heart muscle.
Choice C rationale
Nitroglycerin does not produce an immediate analgesic effect. While it can relieve chest pain, it does so by increasing blood flow to the heart, not by acting as an analgesic.
Choice D rationale
Nitroglycerin increases the coronary blood supply and decreases the afterload314. By dilating the blood vessels, nitroglycerin reduces the amount of work the heart has to do and increases the blood supply to the heart muscle. This is the primary therapeutic action of nitroglycerin in alleviating chest pain.

A. Trendelenburg position. B. Sims’ position. C. Semi-Fowler’s position. D. Fowler’s position with legs lowered.

Correct Answer is D

Explanation

The symptoms described - tachycardia, severe dyspnea, diaphoresis, crackles, and profuse, frothy pink sputum - are indicative of acute pulmonary edema, a condition characterized by fluid accumulation in the lungs due to heart failure. In this situation, the Fowler’s position (sitting up at a 45-60 degree angle) with legs lowered is recommended. This position helps to reduce venous return to the heart, thereby decreasing the workload on the heart and helping to alleviate symptoms.

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Which of the following findings in a patient with Raynaud’s disease would indicate a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering nitroglycerin intravenously to alleviate chest pain. What is the therapeutic action of this medication?

Correct Answer is D

Explanation

A client exhibits tachycardia, severe dyspnea, diaphoresis, crackles, and profuse, frothy pink sputum. What position should the nurse place the client in?

Correct Answer is D

Explanation

Which sequence best describes the direction of blood flow through the heart and lungs?

Coarctation of the aorta refers to the local narrowing of the aorta near which location?

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