A client who works as a data entry clerk is concerned about how a recent diagnosis of Raynaud's syndrome will affect their job performance. Which instruction should the nurse provide to this client?

Obtain a keyboard designed to limit wrist flexion.

Keep both hands elevated during work breaks.

Use a space heater to keep the workspace warm.

Take a multivitamin that contains vitamin D daily.

Answer and Explanation

The Correct Answer is C

Choice A reason: Limiting wrist flexion may help prevent repetitive strain injuries like carpal tunnel syndrome, but it does not address the vasospastic episodes characteristic of Raynaud’s syndrome.
Choice B reason: Elevating the hands does not improve circulation in Raynaud’s and may actually reduce perfusion to the extremities.
Choice C reason: Using a space heater to maintain warmth in the workspace helps prevent cold-induced vasospasm, which is the primary trigger for Raynaud’s attacks. This is a practical and effective environmental intervention.
Choice D reason: While vitamin D has general health benefits, it does not specifically alleviate symptoms or prevent episodes of Raynaud’s syndrome.

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Correct Answer is B

Explanation

Choice A reason: Nuchal rigidity is more commonly associated with meningeal irritation, such as in meningitis or subarachnoid hemorrhage, rather than ischemic stroke risk.
Choice B reason: A carotid bruit is a turbulent sound heard over the carotid artery, often indicating arterial narrowing due to atherosclerosis. This is a recognized risk factor for transient ischemic attacks and ischemic stroke.
Choice C reason: Jugular vein distention suggests elevated central venous pressure, often seen in heart failure, not typically linked to stroke risk.
Choice D reason: Palpable cervical lymph nodes are usually associated with infection or malignancy and do not indicate cerebrovascular risk.

A. Central line insertion. B. Nasogastric tube (NGT) insertion. C. Pacemaker placement. D. Tracheostomy placement.

Correct Answer is D

Explanation

Choice A reason: Central line insertion is not indicated for postoperative tenderness and does not address airway compromise or hypocalcemia.
Choice B reason: NGT insertion is unrelated to parathyroid surgery complications and would not be a priority intervention.
Choice C reason: Pacemaker placement is not relevant unless there is a cardiac conduction issue, which is not suggested by the scenario.
Choice D reason: Tracheostomy may be necessary if airway compromise occurs due to postoperative hematoma or swelling. Tenderness in the neck area post-parathyroidectomy can signal early airway obstruction, requiring immediate airway management.

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A client who works as a data entry clerk is concerned about how a recent diagnosis of Raynaud's syndrome will affect their job performance. Which instruction should the nurse provide to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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