A client diagnosed with Raynaud’s disease is experiencing severe pain and spasms in the fingers and toes of their hands.
What advice should the nurse include in the discharge instructions for this client?

Obtain a pair of heavy-duty gloves to wear for cold exposures.

Refrain from going outdoors during the winter months.

Raise the hands above the head to relieve the spasms.

Use small rubber balls to exercise your hands and fingers daily.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Raynaud’s disease is a condition that affects blood flow to the extremities, including the fingers and toes, in response to cold temperatures or stress. Wearing heavy-duty gloves during cold exposures can help to keep the hands warm and reduce the risk of a Raynaud’s attack.

Choice B rationale

While avoiding cold temperatures can help to prevent Raynaud’s attacks, it is not always practical or possible for individuals to refrain from going outdoors during the winter months.

Choice C rationale

Raising the hands above the head is not typically recommended to relieve spasms associated with Raynaud’s disease.

Choice D rationale

Using small rubber balls to exercise the hands and fingers daily may be beneficial for some individuals with Raynaud’s disease, but it is not typically the primary recommendation for managing this condition.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale

Assess for Red Man Syndrome. Vancomycin can cause a reaction known as Red Man Syndrome, which is characterized by flushing and/or an erythematous rash that affects the face, neck, and upper torso. This is not an allergic reaction, but rather a direct histamine-release effect of the drug.

Choice B rationale

Assess the client’s hearing. Ototoxicity, which can manifest as hearing loss, is a potential side effect of vancomycin. Therefore, it’s important to monitor the client’s hearing during treatment.

Choice C rationale

Obtain an arterial blood gas (ABG). This is not typically required when administering vancomycin. ABGs are usually drawn to assess a patient’s acid-base balance and oxygenation status, not as a routine part of vancomycin administration.

Choice D rationale

Infuse the drug over 1-2 hours. Vancomycin should be administered over at least 60 minutes to avoid skin irritation. Infusing the drug too quickly can also increase the risk of Red Man Syndrome.

Choice E rationale

Obtain an ordered trough level prior to next scheduled dose. Monitoring vancomycin trough levels is important to ensure therapeutic efficacy and to avoid toxicity. Trough levels are typically drawn just before the next dose is due.

A. Call the health care provider if you notice that your stools are dark. B. Change positions slowly to avoid dizziness. C. Do not take aspirin while you are taking clopidogrel. D. Take the clopidogrel with orange juice so it is more effective.

Correct Answer is A

Explanation

Clients taking clopidogrel should be advised to call their healthcare provider if they notice that their stools are dark. This could be a sign of gastrointestinal bleeding, a potential side effect of clopidogrel.

Choice B rationale

Changing positions slowly to avoid dizziness is not specifically related to clopidogrel use.

Choice C rationale

While it’s generally advised to avoid taking other blood thinners while on clopidogrel, aspirin is sometimes prescribed together with clopidogrel under the supervision of a healthcare provider.

Choice D rationale

There is no specific recommendation to take clopidogrel with orange juice for it to be more effective.

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A client diagnosed with Raynaud’s disease is experiencing severe pain and spasms in the fingers and toes of their hands. What advice should the nurse include in the discharge instructions for this client?

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client has been receiving vancomycin 1 gram IV every 12 hours for 2 days. What nursing actions are appropriate when administering this medication? (Select all that apply)

Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Choice E rationale

The client diagnosed with peripheral arterial disease (PAD) has a new prescription for clopidogrel. What information should the nurse include when teaching the client about this medication?

Correct Answer is A

Explanation

Choice B rationale

Choice C rationale

Choice D rationale

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A client diagnosed with Raynaud’s disease is experiencing severe pain and spasms in the fingers and toes of their hands. What advice should the nurse include in the discharge instructions for this client?

A client diagnosed with Raynaud’s disease is experiencing severe pain and spasms in the fingers and toes of their hands.
What advice should the nurse include in the discharge instructions for this client?