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 D
Explanation
A) Regularly soaking hands in cold water is not recommended for clients with Raynaud's disease as it can trigger symptoms and worsen the condition.
B) Stopping all physical activities is not advised for clients with Raynaud's disease. Regular exercise is beneficial for overall cardiovascular health and can help improve circulation.
C) Avoiding wearing gloves can worsen Raynaud's symptoms as proper insulation is essential to maintain blood flow and prevent triggers.
D) Stress and emotional factors are common triggers for Raynaud's disease. Recommending stress-reduction techniques and relaxation exercises can help the client manage stress, reduce the frequency of episodes, and improve their overall well-being.
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.
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