Ignatavicius Chapter 18 (Evolve)questions with correct answers
A client diagnosed with exacerbation of systemic sclerosis (SSc) asks the nurse why a foot board and a bed cradle have been placed on the bed. The nurse explains that they are used for what purpose? A. Inspect skin for lesions or changes B. Promote comfort from Raynaud's phenomenon C. Prevent foot drop and contractures D. Decrease chilling of the extremities Answer B. Promote comfort from Raynaud's phenomenon Acute pain occurs during Raynaud's phenomenon (the first symptom that occurs with SSc), and avoiding pressure from bed linens is a comfort measure. Skin ulcers and lesions can occur with SSc, but a foot board and a bed cradle do not assist with skin inspection. Bed cradles do not prevent foot drop or contractures; only foot boards do this. Decreased chilling and reduced vasospasms of the extremities can be accomplished by increasing the room temperature. The home health nurse conducts a community presentation on Lyme disease for the residents of an assisted-living facility. Which statement from the audience indicates to the home health nurse that further instruction is needed? A. "I will gently remove the tick with tissue and then burn it to prevent the spread of the disease." B. "It is best to walk in the center of an outside trail." C. "I should wait 4 to 6 weeks after being bitten by a tick to be tested for Lyme disease."
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