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

Answer and Explanation

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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Correct Answer is A

Explanation

A) Avoiding stressful situations and practicing relaxation techniques can help manage Raynaud's disease. Stress is a trigger for the condition, and reducing stress can lead to a decrease in the frequency and severity of Raynaud's episodes.

B) Consuming spicy foods does not improve blood circulation and is not recommended as a management strategy for Raynaud's disease. Instead, it's important to focus on overall healthy eating habits.

C) Limiting fluid intake is unrelated to managing Raynaud's disease. Adequate hydration is essential for overall health but does not directly impact Raynaud's symptoms.

D) Decreasing physical activity is not advised for managing Raynaud's disease. Regular exercise is beneficial for overall circulation and cardiovascular health, but individuals with Raynaud's should be mindful of protecting their extremities from cold during outdoor activities.

A. Encouraging the client to regularly soak their hands in cold water B. Advising the client to stop all physical activities to prevent symptoms C. Instructing the client to avoid wearing gloves to desensitize their hands D. Recommending stress-reduction techniques and relaxation exercises

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.

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A nurse is assessing a client with suspected Raynaud's disease. Which of the following clinical features is characteristic of this condition?

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Naxlex Comprehensive Predictor Exams

A client with Raynaud's disease is seeking advice on lifestyle modifications to manage their condition. Which of the following recommendations should the nurse provide to the client?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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