A woman has recently been diagnosed with Raynaud’s disease.
What important information should the nurse provide to this patient?
Keep your hands warm and wear gloves when handling cold objects.
Avoid standing for prolonged periods.
Maintain a regular exercise routine of about 30 minutes each day.
Regularly return to the clinic for blood pressure checks.
The Correct Answer is A
Choice A rationale
Keeping hands warm and wearing gloves when handling cold objects is one of the most effective ways to manage Raynaud’s disease. Cold temperatures can trigger Raynaud’s attacks, which can cause the fingers to turn white, then blue, and feel cold and numb.
Choice B rationale
While avoiding standing for prolonged periods can be beneficial for certain conditions, it is not specifically related to managing Raynaud’s disease.
Choice C rationale
Regular exercise can help improve circulation, which can be beneficial for people with Raynaud’s disease. However, it’s not as crucial as keeping the hands warm.
Choice D rationale
Regularly returning to the clinic for blood pressure checks is not specifically related to managing Raynaud’s disease. While it’s important for individuals with certain conditions, such as hypertension, to regularly monitor their blood pressure, it’s not a key aspect of managing Raynaud’s disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Skin hyperpigmentation is a common symptom of chronic venous insufficiency. This happens because blood pools in the veins and can leak into the surrounding tissue, causing a change in skin color.
Choice B rationale
Gangrene is not a typical symptom of chronic venous insufficiency. Gangrene is a serious condition that occurs when tissue dies due to a lack of blood flow.
Choice C rationale
Edema, or swelling, is a common symptom of chronic venous insufficiency, but it typically occurs in the lower legs and ankles, not above the knee.
Choice D rationale
Deep vein thrombus formation is not a typical symptom of chronic venous insufficiency. However, a history of deep vein thrombosis can increase the risk of developing chronic venous insufficiency.
Correct Answer is B
Explanation
Choice A rationale
Administering Lasix (a diuretic) would not be the most immediate intervention for a patient experiencing increased chest pain after taking sublingual nitroglycerin. Lasix is used to treat fluid retention (edema) and swelling caused by congestive heart failure, liver disease, kidney disease, and other medical conditions. It works by causing the kidneys to get rid of unneeded water and salt from the body into the urine.
Choice B rationale
The most important nursing intervention for a patient experiencing increased chest pain after taking sublingual nitroglycerin would be to increase myocardial oxygenation. This can be achieved by administering supplemental oxygen and ensuring the patient is in a position that maximizes respiratory efficiency (such as semi-Fowler’s position). This intervention addresses the immediate life-threatening situation of myocardial ischemia.
Choice C rationale
Obtaining one hour of echocardiogram readings would not be the most immediate intervention for a patient experiencing increased chest pain after taking sublingual nitroglycerin. While an echocardiogram can provide valuable information about the structure and function of the heart, it is not the first step in managing acute chest pain.
Choice D rationale
Decreasing the patient’s anxiety is an important aspect of care, but it is not the most immediate intervention for a patient experiencing increased chest pain after taking sublingual nitroglycerin. The priority is to address the physical cause of the chest pain.
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