The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the nurse include to prevent an attack?

Keep affected body areas covered at all times.

Avoid stimulation that causes vasoconstriction.

Get plenty of outdoor exercise all year.

Take vasopressors to prevent exacerbation of symptoms.

Answer and Explanation

The Correct Answer is B

A. Keep affected body areas covered at all times: While keeping warm can help prevent attacks, it is not practical or necessary to cover the areas all the time, especially in warmer environments.
B. Avoid stimulation that causes vasoconstriction: Raynaud disease is triggered by factors that cause vasoconstriction, such as exposure to cold or stress. Avoiding these triggers is key to preventing attacks.
C. Get plenty of outdoor exercise all year: Exercise is beneficial for general health but exposure to cold during outdoor activities can trigger Raynaud's attacks, especially in cold weather.
D. Take vasopressors to prevent exacerbation of symptoms: Vasopressors cause vasoconstriction and would likely worsen Raynaud's symptoms rather than preventing them.

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Correct Answer is D

Explanation

A. Report a headache immediately: Headaches are not a common side effect of propranolol and may not require immediate reporting unless they are severe or unusual in nature.
B. Heart palpitations are common: Beta blockers like propranolol generally help to control heart palpitations and irregular heartbeats rather than cause them.
C. Monitor for bleeding gums: This is not a typical side effect of propranolol. Bleeding gums might be more related to dental issues or other medications.
D. Rise slowly to prevent dizziness: Propranolol can cause orthostatic hypotension, which is a drop in blood pressure upon standing up. Patients should be advised to rise slowly to prevent dizziness or fainting, which is a common side effect of beta blockers.

A. "It is caused by a tumor of the adrenal gland." B. The cause can be identified with magnetic resonance imaging." C. "The cause is unknown." D. "There are no tests to identify the cause." E. "An arteriogram will show why hypertension is occurring."

Correct Answer is ["A","B","E"]

Explanation

A. "It is caused by a tumor of the adrenal gland.": This statement is incorrect as a tumor of the adrenal gland (like a pheochromocytoma) would cause secondary hypertension, not primary hypertension, which has no identifiable cause.
B. "The cause can be identified with magnetic resonance imaging.": Primary hypertension does not have a specific identifiable cause, and imaging like MRI cannot pinpoint a cause for it. This statement indicates a misunderstanding.
C. "The cause is unknown.": This statement is correct for primary hypertension, as it is characterized by having no identifiable underlying cause.
D. "There are no tests to identify the cause.": This is correct for primary hypertension since it has no specific identifiable cause. The diagnosis is based on excluding other potential causes of secondary hypertension.
E. "An arteriogram will show why hypertension is occurring.": An arteriogram might identify blockages or other issues in the arteries, but it will not show the cause of primary hypertension. This indicates a need for further teaching.

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The nurse is reinforcing teaching provided to a patient with Raynaud disease. Which measure should the nurse include to prevent an attack?

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Naxlex Comprehensive Predictor Exams

The nurse is planning care for patients with hypertension. What side effect should be included with teaching about the beta blocker propranolol (Inderal)?

Correct Answer is D

Explanation

The nurse provides teaching for a newly diagnosed patient with primary hypertension. Which of the following patient statements about the cause of primary hypertension would indicate the need for further teaching? Select all that apply

Correct Answer is ["A","B","E"]

Explanation

The nurse is contributing to the plan of care for a patient who has a traumatic finger amputation. What should the nurse consider?

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On which lifestyle modifications would the nurse reinforce teaching with the patient to reduce the risk of hypertension? Select all that apply.

Which risk factors would be considered modifiable in the prevention of stroke? Select all that apply.