A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of Raynaud's phenomenon. Which of the following statements should the nurse identify as an indication that the client needs further teaching?
"I will wear gloves when removing food from the freezer."
"I will complete the smoking cessation program I started."
"I will try to anticipate and avoid stressful situations."
"I will keep my house at a cool temperature."
The Correct Answer is D
A. Wearing gloves when removing food from the freezer is appropriate and helps prevent exposure to cold, which can trigger symptoms of Raynaud's phenomenon.
B. Completing a smoking cessation program is beneficial, as smoking can exacerbate symptoms of Raynaud's.
C. Avoiding stressful situations is advisable since stress can trigger vasoconstriction and exacerbate symptoms
.
D. Keeping the house at a cool temperature is not recommended, as cold environments can provoke Raynaud's symptoms; the client should aim to maintain a warm environment to minimize triggers.
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Correct Answer is D
Explanation
A. Black cohosh is typically used for menopausal symptoms and does not have a known effect on walking distance in peripheral arterial disease.
B. Echinacea is primarily used to boost the immune system and treat colds, not for vascular conditions.
C. Saw palmetto is commonly used for benign prostatic hyperplasia (BPH) and does not have evidence supporting its use for peripheral arterial disease.
D. Ginkgo biloba has been shown to improve blood flow and may help increase pain-free walking distance in clients with peripheral arterial disease by enhancing peripheral circulation.
Correct Answer is D
Explanation
A. While age contributes to hypertension risk, being male and 53 years old does not inherently confer the greatest risk when compared to other factors like ethnicity.
B. The client’s younger age and female gender reduce the overall risk for hypertension compared to other groups.
C. Although people of Asian ethnicity can develop hypertension, their overall risk is lower than that of African Americans.
D. African Americans have a significantly higher risk for hypertension due to a combination of genetic, environmental, and socio-economic factors. This group is known to have a higher prevalence of this condition, often developing it at an earlier age.