Nokea
When instructing a client who has been newly diagnosed with vasospastic disorder (Raynaud's phenomenon) about management of care, the nurse should discuss which of the following topics?
- A. Scheduling a sympathectomy procedure for the next visit
- B. Using a beta blocker medication
- C. Follow-up monitoring for development of connective tissue disease
- D. Benefit of an angioplasty to the affected extremities
Correct Answer: C
Rationale: Raynaud's phenomenon is often associated with connective tissue diseases (e.g., scleroderma, lupus), especially secondary Raynaud's. Discussing follow-up monitoring for these conditions is essential for early detection and management. Sympathectomy, beta blockers, and angioplasty are not first-line or relevant interventions.
You may also like to solve these questions
Which of the following statements should the nurse include in the teaching session when preparing a client for arthrocentesis? Select all that apply.
- A. A local anesthetic agent may be injected into the joint site for your comfort.'
- B. A syringe and needle will be used to withdraw fluid from your joint.'
- C. The procedure, although not painful, will provide immediate relief.'
- D. We'll want you to keep your joint active after the procedure to increase blood flow.'
- E. You will need to wear a compression bandage for several days after the procedure.'
Correct Answer: A,B
Rationale: Arthrocentesis involves using a needle and syringe to withdraw fluid, often with a local anesthetic for comfort. The procedure may be painful, and rest, not activity, is typically recommended post-procedure. A compression bandage is not standard.
Which of the following indicates a potential complication of diabetes mellitus?
- A. Inflamed, painful joints.
- B. Blood pressure of 160/100 mm Hg.
- C. Hemoglobin of 11 g/dL.
- D. Fasting blood glucose of 90 mg/dL.
Correct Answer: B
Rationale: Hypertension (160/100 mm Hg) is a common complication of diabetes, contributing to cardiovascular and kidney disease.
A client is receiving dopamine hydrochloride for treatment of shock. The nurse should:
- A. Administer pain medication concurrently.
- B. Monitor blood pressure continuously.
- C. Evaluate arterial blood gases at least every 2 hours.
- D. Monitor for signs of infection.
Correct Answer: B
Rationale: Dopamine can cause significant changes in blood pressure due to its inotropic and vasopressor effects. Continuous blood pressure monitoring is essential to titrate the dose and prevent complications. Pain medication, arterial blood gases, and infection monitoring are not primary.
The nurse is caring for a client who has been prescribed naproxen. Which condition in the client's medical history would require clarification with the primary healthcare provider (PHCP)?
- A. Rheumatoid arthritis (RA)
- B. Congestive heart failure (CHF)
- C. Osteoarthritis
- D. Psoriatic arthritis
Correct Answer: B
Rationale: Naproxen, an NSAID, can exacerbate congestive heart failure by causing fluid retention and increasing cardiac workload.
A client receiving chemotherapy has experienced a flare-up of pruritus. In order to develop a care plan, the nurse should ask the client if she has been:
- A. Wearing clothes made from 100% cotton.
- B. Sleeping in a cool, humidified room.
- C. Increasing fluid intake to at least 3,000 mL/day.
- D. Taking daily baths with a deodorant soap.
Correct Answer: B
Rationale: Sleeping in a cool, humidified room can reduce pruritus by preventing skin dryness, which is a key factor in developing an effective care plan.