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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 D

Explanation

A. Nicardipine is a calcium channel blocker primarily used to manage blood pressure but does not directly reduce ICP.

B. Phenytoin is an anticonvulsant used to prevent seizures, which may occur after a hemorrhage, but it does not address increased ICP.

C. Dopamine is used to increase blood pressure and cardiac output but does not play a role in reducing ICP.

D. Mannitol is an osmotic diuretic that helps decrease ICP by drawing fluid from brain tissue into the bloodstream, thus relieving pressure within the skull. It is the most appropriate intervention for managing increased ICP.

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