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. While hyperlipidemia can contribute to vascular damage, it primarily increases the risk of cardiovascular disease and stroke, rather than directly blocking neuron communication to cause dementia.
B. Peptic ulcer disease is not associated with dementia, and the loss of nerve cells in the stomach does not lead to cognitive decline.
C. Peptic ulcer disease does not cause dementia by impacting neuron communication in the stomach.
D. Vascular dementia is often caused by stroke due to reduced blood flow or damage to the blood vessels in the brain, leading to cognitive decline and memory loss.
Correct Answer is C
Explanation
A. Benztropine is an anticholinergic agent, which reduces salivation rather than causing excessive salivation.
B. Diarrhea is not a typical side effect of benztropine; constipation is more likely due to its anticholinergic properties.
C. Difficulty voiding is an anticholinergic adverse effect of benztropine, as it can cause urinary retention. The client should report this symptom immediately to prevent complications.
D. Slow pulse is not a common adverse effect of benztropine; it may actually increase heart rate due to its anticholinergic effects.