A nurse is assessing a client with Raynaud's disease. Which characteristic symptom should the nurse expect to find during a vasospastic attack?
Skin redness and warmth in the affected areas.
Cyanosis and cold sensation in the fingers or toes.
Swelling and pitting edema in the hands.
Thickening and hypertrophy of the nails.
The Correct Answer is B
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.
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Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is B
Explanation
A) While excessive caffeine intake may worsen Raynaud's symptoms in some individuals, complete avoidance of caffeine is not necessary. Moderate caffeine consumption is generally acceptable.
B) Keeping the affected areas warm with insulated gloves and socks is an essential measure to prevent episodes during cold weather. Proper insulation helps maintain blood flow and reduces the risk of Raynaud's symptoms.
C) Taking hot showers or baths is not recommended for individuals with Raynaud's disease. Sudden exposure to hot water may cause blood vessels to dilate rapidly, leading to potential complications.
D) Exposing the affected areas to cold water is not advised for clients with Raynaud's disease. It can trigger symptoms and worsen the condition.
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