A client presents with complaints of recurrent episodes of finger and toe discoloration. Which diagnostic test is commonly used to assess the blood flow and diagnose Raynaud's disease?
Magnetic Resonance Imaging (MRI) of the extremities
Doppler ultrasound of the affected areas
Electrocardiogram (ECG) to assess heart function
Arteriography to visualize blood vessels
The Correct Answer is B
A) Magnetic Resonance Imaging (MRI) is not routinely used to diagnose Raynaud's disease. It may be used in certain cases to evaluate other possible underlying conditions.
B) Doppler ultrasound is a non-invasive diagnostic test commonly used to assess blood flow in the extremities. It helps visualize blood vessels, identify areas of constriction, and confirm the diagnosis of Raynaud's disease.
C) Electrocardiogram (ECG) is a test used to assess heart function, and it is not directly related to the diagnosis of Raynaud's
disease.
D) Arteriography is an invasive procedure that involves injecting contrast dye into the arteries to visualize blood vessels. While it may be used in specific cases, it is not the primary diagnostic test for Raynaud's disease. Doppler ultrasound is preferred for initial evaluation due to its non-invasiveness.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Skin redness and warmth are not characteristic symptoms of a vasospastic attack in Raynaud's disease. Instead, the affected areas become pale or cyanotic (blueish) due to decreased blood flow.
B) Correct. During a vasospastic attack in Raynaud's disease, the fingers or toes may appear cyanotic (blueish) and feel cold due to vasoconstriction of the blood vessels, reducing blood flow to the extremities.
C) Incorrect. Swelling and pitting edema are not typical symptoms of Raynaud's disease. They may occur in other conditions but are not associated with vasospastic attacks.
D) Incorrect. Thickening and hypertrophy of the nails are not specific to Raynaud's disease and may be seen in other nail disorders.
Correct Answer is C
Explanation
A) Warm and flushed skin is not a characteristic finding in Raynaud's disease. Instead, affected areas usually become pale or bluish due to reduced blood flow.
B) Swollen and tender joints in the fingers are not specific to Raynaud's disease. These symptoms may be indicative of other conditions, such as arthritis.
C) Ulcers or open sores on the fingertips are a common clinical feature of severe Raynaud's disease. Prolonged vasoconstriction and reduced blood flow can lead to tissue damage and the development of painful ulcers.
D) The hallmark of Raynaud's disease is color changes in response to cold or stress. The affected areas typically turn pale or bluish (cyanotic) due to decreased blood flow, followed by redness (rubor) when blood flow is restored. Absence of color changes is not characteristic of Raynaud's disease.
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