A client is concerned about their frequent episodes of finger discoloration and pain. The nurse explains that the definitive diagnosis of Raynaud's disease is based on:
A positive rheumatoid factor (RF) test
Presence of autoimmune antibodies
Clinical history and physical examination
Biopsy of affected skin tissue
The Correct Answer is C
A) A positive rheumatoid factor (RF) test is not specific to Raynaud's disease. It may be present in other conditions, such as rheumatoid arthritis.
B) Presence of autoimmune antibodies may indicate an underlying autoimmune disorder, but it is not the definitive diagnostic criteria for Raynaud's disease.
C) The definitive diagnosis of Raynaud's disease is based on the clinical history and physical examination findings. Characteristic symptoms, such as episodic color changes in response to cold or stress, along with a physical examination showing pallor, cyanosis, and rubor of the affected areas, help confirm the diagnosis.
D) Biopsy of affected skin tissue is not routinely performed to diagnose Raynaud's disease. The diagnosis is typically made based on clinical presentation and examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Exposure to cold temperatures is not recommended for clients with Raynaud's disease as it can trigger symptoms and worsen the condition.
B) Limiting fluid intake does not directly impact Raynaud's disease. Adequate hydration is essential for overall health, but it does not affect the frequency of Raynaud's episodes.
C) Engaging in regular physical exercise and activity is beneficial for individuals with Raynaud's disease. Exercise improves circulation and helps maintain vascular health, which may reduce the severity and frequency of Raynaud's symptoms.
D) Increasing caffeine consumption is not a recommended strategy for managing Raynaud's disease. While caffeine may have mild vasoconstrictive effects, it is not a significant factor in managing the condition.
Correct Answer is C
Explanation
A) Incorrect. Calcium channel blockers are not prescribed to prevent infections during a vasospastic attack.
B) Incorrect. While some medications may require taking with food to avoid stomach upset, this is not a specific requirement for calcium channel blockers.
C) Correct. Calcium channel blockers work by dilating blood vessels and reducing vasospasms, thereby decreasing the frequency and severity of attacks in Raynaud's disease.
D) Incorrect. Calcium channel blockers do not affect platelet count and are not prescribed to improve blood flow through increased platelet production.
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