The nurse is preparing a teaching plan for a patient with Raynaud's disease who is soon to be discharged. What information will be included to improve circulation and prevent complications of this disease? (Select all that apply.)
a. Begin a daily exercise program.
b. Keep hands and feet warm.
c. Surgery is often the most effective treatment.
d. Elevate the lower extremities when reclining.
e. Smoking cessation will improve outcomes.
ANS: A, B, E
Daily exercise, maintenance of extremity warmth, and smoking cessation promote circulation and prevent complications. Surgery is not an effective treatment for Raynaud's disease. Patients with Raynaud's disease should not elevate their extremities when reclining.
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Which layer of the skin contains blood vessels that are integral to the regulation of body temperature and blood pressure?
A) Subcutaneous B) Dermis C) Epidermis D) Endothelial
A young school-age child is seen in a pediatric clinic for a well-child checkup. The parent tells the nurse that they live in the country and use well water
Based on this data, which statement by the nurse is the priority when conducting client teaching? A) "Your child will need to use a teeth whitener in the future because well water is your primary water source." B) "Your child will need to be placed on a fluoride supplement because your primary water source is from a well." C) "I will recommend some mouthwashes that are appropriate for clients that drink well water." D) "It will be very important that your child does not eat sugary foods because you drink well water."
A client with Ménière's disease is hospitalized for severe vertigo. The nurse should plan which nursing intervention to assist in management of the vertigo and nausea?
1. Encouraging frequent ambulation in the hall 2. Administration of stool softeners 3. Bed rest in a quiet, darkened room 4. Offering frequent warm beverages containing caffeine
The hospital nurse supervisor has concerns that a staff nurse is no longer capable of competent patient care because of alcohol use. Repeated counseling sessions with the nurse have not changed the behaviors that are of concern
What action should be taken by the supervisor? 1. Report the concerns to the state board of nursing. 2. Terminate the nurse's hospital employment. 3. Transfer the nurse to a non-patient care position. 4. Nothing as the nurse might sue the supervisor.