A client reports experiencing episodes of cold and numb fingers followed by redness and tingling when they warm up. The nurse suspects Raynaud's disease. Which additional assessment finding would support this suspicion?
Elevated blood pressure readings
Hyperactive reflexes in the extremities
Skin thickening and tightening on the fingers
Abnormal blood clotting tests
The Correct Answer is C
A) Elevated blood pressure readings are not directly related to Raynaud's disease. While the condition can affect blood flow to the extremities, it does not cause consistently elevated blood pressure.
B) Hyperactive reflexes in the extremities are not typically associated with Raynaud's disease. These reflexes may be indicative of other neurological issues.
C) Skin thickening and tightening on the fingers are characteristic features of systemic sclerosis, which is a condition often associated with secondary Raynaud's disease. The combination of Raynaud's symptoms with skin changes may raise suspicion for an underlying autoimmune disorder.
D) Abnormal blood clotting tests are not specific to Raynaud's disease. Raynaud's primarily involves vasospasm and decreased blood flow, rather than abnormal clotting.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Beta-blockers are not commonly prescribed for Raynaud's disease. In fact, they may worsen the condition by causing vasoconstriction.
B) Antihistamines are not used to manage Raynaud's disease. They primarily target histamine receptors and are not effective in improving blood flow.
C) Oral corticosteroids are not typically used to manage Raynaud's disease. They have anti-inflammatory effects but are not effective in treating the underlying vascular dysfunction of Raynaud's.
D) Calcium channel blockers, such as nifedipine or amlodipine, are commonly prescribed for Raynaud's disease. These medications help relax and dilate blood vessels, improving blood flow to the extremities and reducing the frequency and severity of Raynaud's episodes.
Correct Answer is D
Explanation
A) Incorrect. Submerging the hands in hot water can lead to burns and is not recommended during a vasospastic attack.
B) Incorrect. Vigorous rubbing of the fingers can cause trauma and worsen the condition during an acute attack.
C) Incorrect. Placing the hands under running cold water may further exacerbate the vasospasm and is not recommended during an attack.
D) Correct. Moving to a warm area and gently wiggling the fingers can help increase blood flow and encourage vasodilation, potentially alleviating the symptoms of a vasospastic attack.
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