Which of the following information should the nurse include when educating a client who has pulmonary edema as a result of a pre-existing cardiac

condition?
(Select All that Apply.)

Weight control if the client's BMI is greater than 35

Healthy lifestyle

Smoking cessation

Heart disease prevention

Glycemic control if the client is diabetic

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A Reason:

Weight control if the client's BMI is greater than 35 is correct. Obesity is a risk factor for cardiovascular disease and can exacerbate symptoms of heart failure. Weight control, particularly if the client's BMI is greater than 35, is important for managing cardiac conditions such as heart failure and reducing the risk of pulmonary edema.

Choice B Reason:

Healthy lifestyle is correct. Adopting a healthy lifestyle, including regular exercise, balanced diet, adequate hydration, and stress management, is essential for managing cardiac conditions and reducing the risk of complications such as pulmonary edema.

Choice C Reason:

Smoking cessation is correct. Smoking is a major risk factor for cardiovascular disease and can worsen heart failure symptoms. Smoking cessation is crucial for managing cardiac conditions and reducing the risk of pulmonary edema and other complications.

Choice D Reason:

Heart disease prevention is correct. Providing information about heart disease prevention strategies, such as maintaining a healthy diet, managing blood pressure and cholesterol levels, regular exercise, and regular medical check-ups, can help reduce the risk of exacerbations and complications in clients with pre-existing cardiac conditions.

Choice E Reason:

Glycemic control if the client is diabetic is correct. Diabetes is a risk factor for cardiovascular disease and can contribute to the development and progression of heart failure. Glycemic control, along with lifestyle modifications and medication management, is important for managing diabetes and reducing the risk of complications such as pulmonary edema.

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Correct Answer is A

Explanation

Choice A Reason:

Falls is correct. Among individuals aged 65 years and older, falls are the most common cause of spinal cord injuries. As people age, they may experience changes in balance, mobility, and bone density, which can increase their risk of falling. Falls can occur both at home and in other environments, such as during outdoor activities or in healthcare settings. Spinal cord injuries resulting from falls in older adults can have significant consequences, including decreased mobility, chronic pain, and loss of independence.

Choice B Reason:

Gunshot wounds is incorrect. Gunshot wounds can cause spinal cord injuries, but they are not the most common cause for individuals aged 65 years and older. Gunshot wounds tend to be more common in younger age groups or in specific contexts such as violence-related incidents, which are less frequent in older adults.

Choice C Reason:

Sporting accidents is incorrect. Sporting accidents can also lead to spinal cord injuries, especially in younger and more active individuals participating in high-impact sports. However, among individuals aged 65 years and older, participation in sporting activities that could result in spinal cord injuries is generally less common compared to younger age groups.

Choice D Reason:

Motor vehicle accidents is incorrect.

Motor vehicle accidents can cause spinal cord injuries, but they are not as common in the elderly population as they are in younger age groups. Older adults may have reduced driving frequency or may be more cautious on the road, which decreases their risk of motor vehicle accidents compared to younger individuals.

A. "The nerves just go to sleep when I lie down because no message gets from my brain to the spinal cord." B. "The nerve damage may occur for unknown reasons in any individual." C. "The older I get, there is less blood flowing to my feet." D. "The elevated blood sugar from my diabetes can cause underlying nerve damage."

Correct Answer is D

Explanation

Choice A Reason:

"The nerves just go to sleep when I lie down because no message gets from my brain to the spinal cord." is incorrect because it does not accurately describe the mechanism of peripheral neuropathy. Peripheral neuropathy in diabetes is not simply the nerves "going to sleep" due to lack of communication between the brain and spinal cord.

Choice B Reason:

"The nerve damage may occur for unknown reasons in any individual" is incorrect because while the exact cause of peripheral neuropathy may not always be known, in the context of diabetes mellitus, the link between elevated blood sugar levels and nerve damage is well-established.

Choice C Reason:

"The older I get, there is less blood flowing to my feet. “is incorrect because while decreased blood flow (ischemia) can contribute to peripheral neuropathy in some cases, the primary mechanism in diabetic neuropathy is nerve damage due to hyperglycemia rather than reduced blood flow.

Choice D Reason:

"The elevated blood sugar from my diabetes can cause underlying nerve damage." Peripheral neuropathy is a common complication of diabetes mellitus, particularly when the condition is uncontrolled. Elevated blood sugar levels over time can lead to damage to the nerves, especially those in the feet and legs. This damage can result in symptoms such as numbness, tingling, burning sensations, or pain in the affected areas.

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Which of the following information should the nurse include when educating a client who has pulmonary edema as a result of a pre-existing cardiac condition? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of nursing students about spinal cord injuries in clients who are aged 65 years and older. Which of the following should the nurse identify as the most common cause of spinal cord injuries for this age group?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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Which of the following information should the nurse include when educating a client who has pulmonary edema as a result of a pre-existing cardiac

condition?
(Select All that Apply.)