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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?

A.

"I will wear gloves when removing food from the freezer."

B.

"I will complete the smoking cessation program I started."

C.

"I will try to anticipate and avoid stressful situations."

D.

"I will keep my house at a cool temperature."

Answer and Explanation

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. 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.

Correct Answer is C

Explanation

A. Monitoring electrolyte levels is important but is not as immediate as ensuring airway patency.

B. Performing passive range of motion is beneficial for mobility but does not address the immediate needs of an unconscious patient.

C. Suctioning saliva from the client's mouth is the highest priority intervention, as maintaining airway clearance is critical to prevent aspiration and ensure adequate ventilation.

D. Recording intake and output is necessary for overall assessment but is not as urgent as managing the airway.

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