A nurse is assessing a client with suspected Raynaud's disease. Which of the following clinical features is characteristic of this condition?
Warm and flushed skin in the affected areas
Swollen and tender joints in the fingers
Ulcers or open sores on the fingertips
Absence of color changes in response to cold or stress
The Correct Answer is C
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
A) Wearing tight-fitting gloves and socks can restrict blood flow and worsen Raynaud's symptoms. Instead, loose-fitting, insulated gloves and socks are recommended.
B) Hand warmers and foot warmers can be helpful in managing Raynaud's symptoms during the winter season. Using them appropriately does not lead to dependency.
C) Avoiding handwashing is not recommended for hygiene reasons. Proper handwashing is essential, but it is advisable to use warm water and dry hands thoroughly afterward to minimize cold exposure.
D) Layering clothing and using insulated, loose-fitting gloves and socks are recommended for protection during the winter season. These measures provide better insulation and help maintain blood flow to the extremities.
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