The nurse is preparing discharge instructions for a client with Raynaud's Disease. Which teaching point would the nurse include in the teaching plan?

Use nail polish to protect nail beds from injury

Stop smoking because it causes cutaneous vasospasm.

Always wear warm clothing even in warm climates to prevent vasoconstriction

Wear gloves for all activities involving use of both hands

Answer and Explanation

The Correct Answer is B

A. Nail polish does not protect nail beds from injury and may even mask early signs of problems.
B. Smoking causes vasoconstriction and worsens Raynaud's symptoms; quitting smoking is essential.
C. Wearing warm clothing is important in cold climates to prevent vasospasm, but not necessary in warm climates.
D. Wearing gloves is advised during cold exposure or specific activities, not necessarily for all hand activities.

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Correct Answer is C

Explanation

A. GERD typically does not cause severe abdominal pain, rigidity, or flank bruising.
B. Diabetes does not present acutely with these symptoms.
C. Severe pancreatitis, especially after heavy alcohol use, can cause severe abdominal pain, rigid abdomen (sign of peritonitis), and flank bruising (Grey Turner’s sign).
D. COPD primarily affects the lungs and would not cause these abdominal symptoms.

A. "Your kidneys cannot reabsorb water, which leads to Type 2 diabetes mellitus." B. "Your body has insulin resistance and decreased insulin secretion." C. "An infection in your pancreas destroyed the cells that make insulin." D. "Your body is destroying the cells that secrete insulin."

Correct Answer is B

Explanation

A. Kidney function issues do not cause Type 2 diabetes.
B. Type 2 diabetes is primarily caused by insulin resistance (the body’s cells do not respond properly to insulin) and decreased insulin secretion over time.
C. Pancreatic infection destroying insulin-producing cells is not a common cause of Type 2 diabetes.
D. Destruction of insulin-secreting cells is characteristic of Type 1 diabetes, not Type 2.

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The nurse is preparing discharge instructions for a client with Raynaud's Disease. Which teaching point would the nurse include in the teaching plan?

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Correct Answer is C

Explanation

A client who has Type 2 diabetes mellitus asks the nurse, "Why did I develop diabetes?" Which of the following responses should the nurse make?

Correct Answer is B

Explanation

The nurse caring for a client post-colon resection assesses the client on the second postoperative day. The nasogastric be remains patent and is draining moderate amounts of greenish fluid. Which assessment finding would suggest that the client's potassium level is too low?

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A nurse is providing preoperative teaching to a client who is to undergo an open bowel resection at 1300 next week. Which of the following statements by the client indicates the need for further teaching?

The nurse caring for a client post-colon resection assesses the client on the second postoperative day. The nasogastric tube remains patent and is draining moderate amounts of greenish fluid. Which assessment finding would suggest that the client's potassium level is too low?

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