A client with Raynaud's disease is experiencing a vasospastic attack. What should the nurse instruct the client to do during an acute attack?
"Submerge your hands in hot water to promote vasodilation."
"Rub your fingers together vigorously to increase blood flow."
"Place your hands under running cold water to constrict blood vessels."
"Move to a warm area and wiggle your fingers to encourage circulation."
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A) Antihistamines are not commonly used to manage Raynaud's disease. They primarily target histamine receptors and are not effective in dilating blood vessels.
B) Beta-blockers are not typically prescribed for Raynaud's disease. They may worsen the condition by causing vasoconstriction.
C) Calcium channel blockers, such as nifedipine or amlodipine, are commonly prescribed to manage 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.
D) Oral corticosteroids are not used as a standard treatment for Raynaud's disease. They have anti-inflammatory effects but are not effective in treating the underlying vascular dysfunction of Raynaud's.
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