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 B

Explanation

A. Increase the client's oral fluid intake.: While staying hydrated is generally good, it doesn't directly address the issue of cold feet caused by reduced circulation.
B. Obtain a pair of slipper socks for the client.: Slipper socks can help keep the feet warm without constricting blood flow, which is important for comfort and promoting circulation.
C. Rub the client's feet briskly for several minutes.: Vigorous rubbing could potentially cause injury or worsen circulation issues due to the fragility of the tissues in vascular compromise.
D. Place a moist heating pad under the client's feet.: Moist heat is not recommended as it can increase the risk of burns and injury, especially if the client has reduced sensation due to vascular occlusion.

A. Cigarette smoking B. Physical inactivity C. Family history of stroke D. Obesity E. Age

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

Explanation

A. Cigarette smoking: This is correct. Smoking is a significant modifiable risk factor for stroke because it contributes to atherosclerosis and other cardiovascular issues.
B. Physical inactivity: This is correct. Regular physical activity reduces the risk of stroke by improving cardiovascular health and reducing other risk factors such as hypertension and obesity.
C. Family history of stroke: This is not modifiable. While family history increases risk, it cannot be changed. However, knowing this risk can prompt proactive management of modifiable factors.
D. Obesity: This is correct. Obesity is a modifiable risk factor for stroke because it is associated with other risks such as hypertension, diabetes, and hyperlipidemia. Weight loss and healthy lifestyle changes can reduce stroke risk.
E. Age: This is not modifiable. While older age increases stroke risk, it is a factor that cannot be changed.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?

Correct Answer is B

Explanation

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

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

Explanation

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