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A nurse is reinforcing teaching to a client who has peripheral venous disease about management of symptoms. Which of the following client statements indicates to the nurse an understanding of the teaching?

A.

“I will decrease my activity to prevent added stress on my legs."

B.

“I will need to massage my legs frequently to prevent a buildup of fluid."

C.

“I will inspect my legs every day for changes in color, size, and temperature."

D.

“I will keep my legs in a dependent position."

Answer and Explanation

The Correct Answer is C

A. Decreasing activity is not advisable; clients with peripheral venous disease should engage in regular, moderate exercise to improve venous circulation.  

 

B. Massaging the legs is not recommended as it can exacerbate venous insufficiency and potentially lead to complications such as thrombosis.  

 

C. Inspecting the legs daily for changes in color, size, and temperature is crucial for early detection of complications and indicates an understanding of self-monitoring.  

 

D. Keeping the legs in a dependent position can worsen venous pooling; the client should elevate their legs when resting to promote venous return.


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

Explanation

A. Falls are one of the leading causes of TBIs, especially in older adults and young children.

B. Violence, including assaults or domestic abuse, can result in traumatic brain injuries, often due to blunt trauma to the head.

C. Sports-related injuries, particularly from contact sports like football or boxing, are a well-recognized cause of TBIs.

D. While firefighting can involve physical risks, it is not a direct cause of traumatic brain injuries unless an accident involving the head occurs.

E. Working in a factory, though it may pose various risks, does not typically involve causes directly linked to TBIs unless there is an accidental head injury.

Correct Answer is C

Explanation

A. The headache is not related to anxiety but is a known side effect of nitroglycerin due to vasodilation.

B. An allergy to nitroglycerin typically presents as a rash or breathing difficulty, not a headache.

C. Nitroglycerin commonly causes headaches due to the dilation of blood vessels in the brain, which usually lessens over time as the body adjusts.

D. A headache does not indicate tolerance to the medication. Tolerance develops when the body becomes less responsive to the medication's effects, which usually involves a reduced effect on chest pain, not the onset of a headache.

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