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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Raynaud's disease is not directly affected by sun exposure, so avoiding going outdoors during peak sun hours is not necessary for managing Raynaud's symptoms.
B) Wearing heavy winter clothing in warm weather is not recommended as it may lead to discomfort and overheating. Instead, the focus should be on protecting the extremities from sudden temperature changes.
C) Keeping the air conditioning at a very low temperature is not necessary for managing Raynaud's symptoms during the summer months. However, maintaining a comfortable indoor temperature is important to prevent extreme temperature fluctuations.
D) Using sunscreen with high SPF on the affected areas is important, especially if the client's Raynaud's symptoms are triggered by exposure to sunlight. Sunscreen helps protect the skin from harmful UV rays and may reduce the risk of exacerbating symptoms during the summer.
Questions
Correct Answer is D
Explanation
A) Wearing tight-fitting gloves and socks can restrict blood flow and worsen Raynaud's symptoms. Instead, loose-fitting, insulated gloves and socks are recommended.
B) Hand warmers and foot warmers can be helpful in managing Raynaud's symptoms during the winter season. Using them appropriately does not lead to dependency.
C) Avoiding handwashing is not recommended for hygiene reasons. Proper handwashing is essential, but it is advisable to use warm water and dry hands thoroughly afterward to minimize cold exposure.
D) Layering clothing and using insulated, loose-fitting gloves and socks are recommended for protection during the winter season. These measures provide better insulation and help maintain blood flow to the extremities.
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