a client with lupus experience raynauds phenomenon what should the nurse include when providing client education about this
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client with lupus experience Raynaud's phenomenon. What should the nurse include when providing client education about this?

Correct answer: A

Rationale:

2. What complication of fractures is caused by increased pressure which can result in decreased circulation to the area?

Correct answer: B

Rationale: Acute compartment syndrome is the correct answer. It involves increased pressure within muscles, leading to decreased blood flow and tissue damage. Venous thromboembolism (Choice A) is a condition where a blood clot forms in a vein, usually in the leg. Fat embolism syndrome (Choice C) occurs when fat globules enter the bloodstream and block blood vessels. Hemorrhage (Choice D) refers to bleeding, which can occur with fractures but does not specifically involve increased pressure leading to decreased circulation as in acute compartment syndrome.

3. What intervention by the nurse would be the best to prevent deep vein thrombosis after a fracture of the hip?

Correct answer: B

Rationale: The best intervention to prevent deep vein thrombosis (DVT) after a fracture of the hip is to apply antiembolism stockings. These stockings help promote circulation and prevent blood clots from forming in the legs due to immobility. Encouraging bedrest is not recommended as it can increase the risk of DVT. While anticoagulants are used in some cases, the primary prevention method is mechanical prophylaxis like antiembolism stockings. Teaching about smoking cessation is important for overall health but is not directly related to preventing DVT in this scenario.

4. A client is diagnosed with systemic sclerosis (scleroderma). What symptoms is the first to occur?

Correct answer: B

Rationale:

5. A client is bedridden and appears to be frail and malnourished. Which nursing interventions will increase the risk of pressure injury?

Correct answer: B

Rationale:

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