The nurse is providing teaching to a patient with Buerger disease. Which of the following statements by the patient would the nurse evaluate as indicating understanding about Buerger disease?
"Smoking cessation is important because nicotine is a vasoconstrictor."
"Adequate fluid intake is important to maintain blood pressure."
Those most affected are middle-aged women after menopause."
"A low-fat diet is required to reduce atherosclerosis in large arteries."
The Correct Answer is A
A. "Smoking cessation is important because nicotine is a vasoconstrictor.": Buerger disease is strongly associated with tobacco use, and nicotine causes vasoconstriction, which exacerbates the condition. Smoking cessation is crucial in managing and preventing progression.
B. "Adequate fluid intake is important to maintain blood pressure.": While staying hydrated is generally important, it is not specifically related to the management of Buerger disease, which is more focused on vascular health and smoking cessation.
C. "Those most affected are middle-aged women after menopause.": Buerger disease predominantly affects young male smokers, not middle-aged women.
D. "A low-fat diet is required to reduce atherosclerosis in large arteries.": Buerger disease involves inflammation and thrombosis in small and medium-sized arteries and veins, not atherosclerosis in large arteries. Therefore, a low-fat diet, while beneficial for general cardiovascular health, is not specifically targeted for Buerger disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. tPA is not delivered for hemorrhagic stroke: This is correct. tPA is a thrombolytic medication used for ischemic strokes, not haemorrhagic strokes, as it would exacerbate bleeding.
B. The total effects of ischemia are not currently known: While assessing the extent of ischemia is important for ischemic stroke, it is irrelevant here because the stroke is hemorrhagic.
C. Too much time has passed since the symptoms began: The time window is important for tPA in ischemic strokes, but in this case, the type of stroke (haemorrhagic) is the determining factor.
D. The patient's symptoms have progressed too quickly: The progression of symptoms does not affect the decision to use tPA; the contraindication is solely due to the hemorrhagic nature of the stroke.
Correct Answer is B
Explanation
A. "I will avoid crossing my legs at the knees.": This is appropriate because crossing legs can reduce blood flow and increase the risk of blood clots, exacerbating PVD symptoms.
B. "I will wear stockings with elastic tops.": This indicates a need for further teaching. Stockings with tight elastic tops can constrict blood flow and are not recommended for patients with PVD. They should use graduated compression stockings if prescribed.
C. "I will use a thermometer to check the temperature of my bath water.": This is appropriate as it prevents burns in patients with reduced sensation due to PVD.
D. "I will not go barefoot.": This is appropriate to avoid injuries and infections, which can be problematic for individuals with PVD due to poor circulation.
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