A nurse is caring for a client experiencing a Raynaud's episode. Which of the following interventions should the nurse implement to help alleviate symptoms during an episode?
Encouraging the client to rub the affected areas vigorously
Applying direct heat, such as a heating pad, to the affected areas
Elevating the affected extremities to promote blood flow
Placing the affected areas in warm water
The Correct Answer is D
A) Vigorous rubbing of the affected areas during a Raynaud's episode may lead to further irritation and may not be effective in improving blood flow.
B) Applying direct heat, such as a heating pad, may cause burns or skin damage, especially if the client has reduced sensitivity due to vasoconstriction.
C) Elevating the affected extremities is not recommended during a Raynaud's episode, as it may further reduce blood flow to the extremities.
D) Placing the affected areas in warm (not hot) water can help dilate blood vessels and improve blood flow, relieving the symptoms of a Raynaud's episode.
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Correct Answer is D
Explanation
A) Beta-blockers are not commonly prescribed for Raynaud's disease. In fact, they may worsen the condition by causing vasoconstriction.
B) Antihistamines are not used to manage Raynaud's disease. They primarily target histamine receptors and are not effective in improving blood flow.
C) Oral corticosteroids are not typically used to manage Raynaud's disease. They have anti-inflammatory effects but are not effective in treating the underlying vascular dysfunction of Raynaud's.
D) Calcium channel blockers, such as nifedipine or amlodipine, are commonly prescribed for 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.
Correct Answer is C
Explanation
A) Drinking caffeinated beverages is not a recommended stress-reduction technique for individuals with Raynaud's disease. Excessive caffeine intake may worsen symptoms.
B) Engaging in vigorous physical exercise may be beneficial for overall health, but during stressful periods, it may exacerbate Raynaud's symptoms. Moderate exercise is a better option.
C) Practicing deep breathing exercises and meditation can help reduce stress and promote relaxation. Stress reduction is important for individuals with Raynaud's disease, as stress is a common trigger for episodes.
D) Watching stimulating movies or TV shows may not be the most effective stress-reduction technique for managing Raynaud's disease. It is essential to find calming and soothing activities to help manage stress and reduce symptoms.
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