A client who was recently diagnosed with Raynaud's disease is concerned about pain management. Which nursing instruction should the nurse provide?

Painful areas should be rubbed gently until the pain subsides

Enrolling in a pain clinic can provide pain relief alternatives

Wearing gloves when handling cold items guards against painful spasms

Return appointments will be needed for IV pain medication

Answer and Explanation

The Correct Answer is C

Choice A reason: Rubbing painful areas gently may provide temporary relief, but it is not a specific or effective long-term management strategy for Raynaud's disease. This advice could lead to further discomfort if not done correctly, and it does not address the primary trigger, which is cold exposure.

Choice B reason: Enrolling in a pain clinic can provide pain relief alternatives, but this is a general recommendation and not specific to the management of Raynaud's disease. While pain clinics can be helpful for chronic pain management, practical daily interventions are also crucial for this condition.

Choice C reason: Wearing gloves when handling cold items is a direct and practical way to prevent painful spasms associated with Raynaud's disease. This condition is characterized by episodes of reduced blood flow to the extremities, typically triggered by cold temperatures. By wearing gloves, the client can protect their hands from cold exposure, which helps prevent these painful spasms.

Choice D reason: Return appointments for IV pain medication are not typical for managing Raynaud's disease. Pain management for Raynaud's generally focuses on preventive measures and lifestyle adjustments to avoid triggers, rather than relying on IV medications for pain relief.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Biliary duct obstruction can cause symptoms similar to those described, such as abdominal pain and vomiting. However, the key indicators of acute pancreatitis are the elevated serum amylase and lipase levels, which are significantly higher than normal. These enzymes are typically elevated in cases of pancreatitis, making this the more accurate diagnosis.

Choice B reason: Surgical site infection could cause fever and pain, but it would not typically result in elevated serum amylase and lipase levels. These enzymes are specific to pancreatic inflammation and damage, which is characteristic of acute pancreatitis. Therefore, surgical site infection is less likely given the lab results.

Choice C reason: Hepatorenal failure involves liver and kidney dysfunction, which can present with various symptoms, including abdominal pain and vomiting. However, it does not typically cause a significant increase in serum amylase and lipase levels. These elevated levels are more indicative of pancreatic inflammation, pointing towards acute pancreatitis.

Choice D reason: Acute pancreatitis is characterized by upper abdominal pain radiating to the back, vomiting, fever, and significantly elevated serum amylase and lipase levels. These symptoms and lab results align with the diagnosis of acute pancreatitis, making it the correct choice.

A. Ensure the IV solution is infusing at the prescribed rate B. Notify the healthcare provider of the findings C. Check under the back for evidence of bleeding D. Listen to lung sounds

Correct Answer is C

Explanation

Choice A reason: Ensuring the IV solution is infusing at the prescribed rate is important, but it is not the first action the nurse should take. The symptoms the client is exhibiting—low blood pressure, tachycardia, restlessness, and irritability—are indicative of potential hypovolemic shock, likely due to bleeding. Immediate assessment for bleeding is more critical.

Choice B reason: Notifying the healthcare provider of the findings is essential, but it should be done after assessing the client for signs of bleeding. The nurse needs to quickly identify the source of the client’s symptoms before contacting the healthcare provider to provide a complete and accurate report of the situation.

Choice C reason: Checking under the back for evidence of bleeding is the correct first action. The client's symptoms suggest they might be experiencing hypovolemic shock due to postoperative bleeding. Identifying whether there is visible bleeding can help determine the next steps in managing the client's condition and providing appropriate interventions.

Choice D reason: Listening to lung sounds is important in a comprehensive assessment but is not the priority in this scenario. The client's symptoms strongly indicate a potential bleeding issue, so checking for evidence of bleeding should come first to promptly address the most life-threatening concern.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client who was recently diagnosed with Raynaud's disease is concerned about pain management. Which nursing instruction should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse assesses an adult client 24 hours following abdominal surgery and finds the client's blood pressure is 98/40 mm Hg. The client is tachycardiac, restless, and irritable. Which action should the nurse perform first?

Correct Answer is C

Explanation

A client who takes daily supplemental iron tablets for iron deficiency anemia reports feeling increasingly fatigued. Which laboratory value should the nurse review?

The nurse assesses an adult client 24 hours after a bowel exploration and formation of a sigmoid colostomy. Which assessment finding should be reported to the surgeon immediately?

A client with diabetes mellitus is admitted with an upper respiratory infection. Which changes in blood glucose management should the nurse tell the client to expect?

While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately?

Exhibits The nurse has implemented additional needed actions. Indicate the assessment data which indicate the interventions were successful and which assessment data provide no indication that the interventions were successful. Each column must have at least one answer selected.

A nurse is caring for a client with acute kidney injury (AKI). Which assessment finding warrants immediate intervention?

Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first?