The nurse is caring for a client diagnosed with Raynaud's phenomena. The nurse will prioritize educating the client about implementing which intervention?

Avoiding exposure to cold temperatures

Highly stressful situations are not a trigger.

Wearing tight-fitting gloves

Increasing caffeine intake

Answer and Explanation

The Correct Answer is A

A. Avoiding cold exposure is critical because cold can trigger vasospasms of small arteries in the fingers and toes, leading to pain, pallor, cyanosis, and numbness.

B. Stress is a major trigger for Raynaud’s episodes.

C. Loose, warm gloves are recommended; tight gloves can worsen symptoms.

D. Caffeine is a vasoconstrictor and can worsen symptoms.

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Correct Answer is A

Explanation

A. Carvedilol (Coreg) is a beta-blocker that lowers heart rate and blood pressure. A heart rate of 49 bpm is bradycardia, and the medication should be held and the provider notified.

B. A respiratory rate of 20 is normal (12–20 breaths/min).

C. Blood pressure of 102/76 is low but acceptable for most clients.

D. A temperature of 100.3°F is unrelated to carvedilol administration.

A. Depressed ST segment. B. U Waves. C. Tall, peaked T waves. D. T wave inversions.

Correct Answer is C

Explanation

A. A depressed ST segment is seen in hypokalemia, not hyperkalemia.

B. U waves are characteristic of hypokalemia, not hyperkalemia.

C. Tall, peaked T waves are a hallmark ECG finding in hyperkalemia, especially when potassium levels exceed 6.0 mEq/L.

D. T wave inversions occur in ischemia, not hyperkalemia.

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The nurse is caring for a client diagnosed with Raynaud's phenomena. The nurse will prioritize educating the client about implementing which intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client due for their dose of carvedilol (Coreg). The nurse completes vital signs prior to administration of the medication. Which vital sign would be an indication to hold the dose scheduled and notify the healthcare provider?

Correct Answer is A

Explanation

A nurse is caring for a patient diagnosed with hypokalemia. Which of the following ECG findings would the nurse expect to observe in a patient with severe hyperkalemia?

Correct Answer is C

Explanation

A nurse is monitoring a client who is on telemetry. Which of the following findings on the ECG strip should the nurse recognize as normal sinus rhythm?

The nurse receives a new client from the emergency department with an order for propranolol (Inderal). upon looking at the client's history, which diagnosis would make the nurse clarify this order?

Calculate the heart rate based on this rhythm strip.

A nurse is caring for a client who is taking enalapril (Vasotec). Which of the following outcomes indicates a therapeutic effect of the medication?

A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect?

The nurse is caring for a client diagnosed with Raynaud's phenomena. The nurse will prioritize educating the client about implementing which intervention?

The nurse is assessing a client diagnosed with peripheral arterial disease (PAD). The client reports leg pain and cramping after walking a few blocks. which is relieved when the client Stops and rests. The nurse documents that the client is experiencing which clinical manifestation?