Which of the following factors would the nurse identify as a modifiable risk factor for the development of varicose veins?

History of thrombophlebitis in both extremities

Mother and maternal grandmother had varicose veins

Employed as an over-the-road truck driver

Weight gained during past pregnancies

Answer and Explanation

The Correct Answer is C

A. History of thrombophlebitis in both extremities: This is a non-modifiable risk factor. Prior venous inflammation or clotting increases susceptibility to varicose veins but cannot be changed through lifestyle modifications.
B. Mother and maternal grandmother had varicose veins: Family history reflects genetic predisposition and is a non-modifiable factor. Inherited vein wall weakness increases risk but cannot be influenced by behavior.
C. Employed as an over-the-road truck driver: Prolonged sitting or standing restricts venous return and contributes to vein distension. This is modifiable through frequent leg movement, walking breaks, and use of compression stockings.
D. Weight gained during past pregnancies: Weight gain during previous pregnancies is a past event and no longer modifiable. Although pregnancy increases venous pressure, current lifestyle changes can't alter that history.

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Correct Answer is C

Explanation

A. Facial burns: Facial burns may occur with methods of drug use, such as smoking crack cocaine, but they are not the most urgent concern during withdrawal. Physical injuries are important but do not guide immediate safety-related nursing priorities.
B. Perforated septum: A perforated nasal septum results from chronic intranasal cocaine use. While it indicates long-term damage, it is not a critical issue during the acute withdrawal phase and does not require urgent intervention.
C. Suicide precautions: Cocaine withdrawal is often associated with severe depression, anxiety, and suicidal ideation. Suicide precautions are essential because of the high risk for self-harm, making this the top priority in nursing care.
D. Nutritional support: Cocaine users may suffer from malnutrition due to poor appetite and lifestyle, but nutritional support is not the immediate concern during withdrawal. Safety and mental health monitoring take precedence.

A. Give the client one medicine at a time and observe for allergic reactions. B. Administer the medications that the physician ordered. C. Consult drug references to make sure the medicines do not contain substances to which the client is hypersensitive. D. Call the pharmacy and let them know the client has several drug allergies.

Correct Answer is C

Explanation

A. Give the client one medicine at a time and observe for allergic reactions: This approach is unsafe and reactive rather than preventive. Administering medications without confirming ingredients risks triggering a serious allergic reaction.
B. Administer the medications that the physician ordered: Medications should never be given without verifying they are safe for the client, especially when allergies are known. Doing so could result in a life-threatening hypersensitivity response.
C. Consult drug references to make sure the medicines do not contain substances to which the client is hypersensitive: This is the safest and most appropriate action. The nurse must verify all ordered medications to ensure they do not contain allergens. Cross-checking with reliable drug references ensures safe administration.
D. Call the pharmacy and let them know the client has several drug allergies: While notifying the pharmacy is helpful, the nurse is still responsible for verifying medication safety before administration. This action alone does not replace the need for direct confirmation of drug components.

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Which of the following factors would the nurse identify as a modifiable risk factor for the development of varicose veins?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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