A client has just been diagnosed with an aneurysm. When planning discharge teaching for this client, what instructions should the nurse provide to the client?

Take an herbal form of feverfew

Take opioid analgesics

Avoid heavy lifting

Include peanut butter, bread, or tart foods in the diet

Answer and Explanation

The Correct Answer is C

Reasoning:

Choice A reason: Feverfew, an herbal supplement, is sometimes used for migraines but has no proven role in aneurysm management. It may affect platelet function, increasing bleeding risk if an aneurysm ruptures, making it an inappropriate and potentially harmful recommendation for this client’s condition.

Choice B reason: Opioid analgesics are not routinely recommended for aneurysm management unless severe pain from rupture occurs. Prophylactic use is inappropriate, as it does not prevent aneurysm complications and may mask symptoms, delaying intervention. Lifestyle measures like avoiding strain are more relevant for prevention.

Choice C reason: Avoiding heavy lifting is critical for clients with an aneurysm, as increased intra-abdominal or thoracic pressure from lifting can elevate blood pressure, risking aneurysm rupture. This lifestyle modification reduces mechanical stress on the aneurysm wall, promoting safety and preventing catastrophic bleeding events.

Choice D reason: Including peanut butter, bread, or tart foods in the diet is unrelated to aneurysm management. Dietary choices do not directly affect aneurysm stability or rupture risk. Blood pressure control and avoiding strain, like heavy lifting, are more critical to prevent aneurysm complications.

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Correct Answer is D

Explanation

Reasoning:

Choice A reason: Bundle branch block affects ventricular conduction but does not typically cause emboli. It may lead to dyssynchrony but lacks the stasis in the atria that promotes clot formation, making it less associated with cardiogenic embolic strokes compared to atrial fibrillation’s thrombus-forming mechanism.

Choice B reason: Ventricular tachycardia is a life-threatening arrhythmia affecting the ventricles, causing hemodynamic instability but not typically embolic strokes. It does not promote atrial stasis or clot formation, which are necessary for cardiogenic emboli to travel to the brain, unlike atrial fibrillation.

Choice C reason: Supraventricular tachycardia causes rapid heart rates above the ventricles but is less likely to form atrial clots than atrial fibrillation. It does not typically cause the prolonged stasis needed for thrombus formation, making it less associated with embolic strokes in the brain.

Choice D reason: Atrial fibrillation is strongly associated with cardiogenic embolic strokes. It causes irregular atrial contractions, leading to blood stasis in the atria, promoting thrombus formation. These clots can embolize to the brain, causing ischemic stroke, making it a key risk factor requiring anticoagulation.

A. Megaloblastic anemia B. Iron deficiency anemia C. Sickle cell anemia D. Aplastic anemia

Correct Answer is B

Explanation

Reasoning:

Choice A reason: Megaloblastic anemia, caused by vitamin B12 or folate deficiency, leads to macrocytic red blood cells and symptoms like fatigue and neurological issues. Ice eating (pica) is not a hallmark; it is more associated with iron deficiency, which drives unusual cravings, making this less likely.

Choice B reason: Iron deficiency anemia is associated with pica, including ice eating (pagophagia), a common symptom. Low iron impairs hemoglobin synthesis, causing microcytic anemia, fatigue, and cravings for non-nutritive substances like ice, likely due to neurological or metabolic effects of iron deficiency, matching the co-worker’s behavior.

Choice C reason: Sickle cell anemia, an inherited hemolytic anemia, causes vaso-occlusive crises and fatigue but is not linked to ice eating. Pica is specific to iron deficiency, not hemoglobinopathies like sickle cell, which involves sickled red blood cells, not iron store depletion.

Choice D reason: Aplastic anemia, due to bone marrow failure, causes pancytopenia, leading to fatigue and infections but not pica or ice eating. This behavior is characteristic of iron deficiency, not the generalized blood cell deficiency seen in aplastic anemia, making it an unlikely diagnosis.

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A client has just been diagnosed with an aneurysm. When planning discharge teaching for this client, what instructions should the nurse provide to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A preceptor discussing stroke with a new nurse on the unit would tell the new nurse that which cardiac dysrhythmia is associated with cardiogenic embolic strokes?

Correct Answer is D

Explanation

The nurse observes a co-worker who always seems to be eating a cup of ice. The nurse encourages the co-worker to have an examination and diagnostic workup with the health care provider. What type of anemia is the nurse concerned that the co-worker may have?

Correct Answer is B

Explanation

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