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

Get plenty of outdoor exercise all year.

Keep affected body areas covered at all times.

Take vasopressors to prevent exacerbation of symptoms.

Avoid stimulation that causes vasoconstriction.

Answer and Explanation

The Correct Answer is D

Choice A reason: Getting plenty of outdoor exercise all year is beneficial for overall health but does not specifically prevent Raynaud's attacks, especially in cold weather.

Choice B reason: Keeping affected body areas covered, especially in cold weather, helps prevent Raynaud's attacks by maintaining warmth.

Choice C reason: Taking vasopressors is not a measure to prevent Raynaud's attacks; vasopressors could potentially worsen the condition by causing further vasoconstriction.

Choice D reason: Avoiding stimulation that causes vasoconstriction, such as stress and cold temperatures, is key to preventing Raynaud's attacks.

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Correct Answer is ["C","D","E"]

Explanation

Choice A reason: A rational fear of certain objects is not typically associated with OCD, which is characterized by irrational fears or obsessions.

Choice B reason: Clients with OCD are usually very aware of their compulsions, even if they cannot control them.

Choice C reason: Rule-conscious behavior is common in OCD, as individuals may create strict routines to manage their anxiety.

Choice D reason: Difficulty relaxing is a characteristic of OCD due to persistent intrusive thoughts and compulsive behaviors.

Choice E reason: Perfectionist behavior is often seen in OCD, where there is an excessive concern with orderliness and details.

A. Obtain the patient's vital signs. B. Give the patient the prescribed as-needed lorazepam. C. Instruct the patient to sit and breathe deeply. D. Instruct the patient in an imagery exercise.

Correct Answer is A

Explanation

Choice A reason: The first step should always be to assess the patient's physical state to rule out any immediate life-threatening conditions before proceeding with psychiatric interventions.

Choice B reason: Administering medication may be necessary, but it should not precede an assessment of the patient's vital signs.

Choice C reason: While instructing the patient to sit and breathe deeply can help alleviate symptoms of anxiety, it is not the first action to take before assessing the patient's vital signs.

Choice D reason: Imagery exercises can be helpful for managing anxiety, but they are not the priority before ensuring the patient's physiological stability.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

Correct Answer is A

Explanation

A nurse is caring for a client who has schizophrenia. The client states, "They lie about me all the time and are trying to poison my food." Which of the following responses should the nurse make?

Ms. T complains of headaches and body pains whenever her husband mentions that the house needs to be cleaned. This has been a recurring problem for more than 6 months. Ms. T probably is suffering from what kind of disorder?

An older adult patient experiences a fracture of the lower leg and undergoes closed reduction and placement of a fiberglass cast. What should the nurse prepare for when planning care?

Lisa is a 22-year-old woman who experiences episodes of extreme muscle rigidity. She sometimes repeats a word or phrase over and over. Attempts to move her are met with increased muscle resistance. What is she exhibiting?

The nurse is reviewing informed consent with a coworker. Which statement by the coworker would concern the nurse?

A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions is appropriate for the nurse to take?

A nurse is preparing a young adult client who has a hearing impairment for surgery. Which of the following actions should the nurse take?

Which of the following is a priority when caring for a highly anxious patient?