The nurse is preparing discharge instructions for a client with Raynaud's Disease. Which teaching point would the nurse include in the teaching plan?

Use nail polish to protect nail beds from injury

Stop smoking because it causes cutaneous vasospasm.

Always wear warm clothing even in warm climates to prevent vasoconstriction

Wear gloves for all activities involving use of both hands

Answer and Explanation

The Correct Answer is B

A. Nail polish does not protect nail beds from injury and may even mask early signs of problems.
B. Smoking causes vasoconstriction and worsens Raynaud's symptoms; quitting smoking is essential.
C. Wearing warm clothing is important in cold climates to prevent vasospasm, but not necessary in warm climates.
D. Wearing gloves is advised during cold exposure or specific activities, not necessarily for all hand activities.

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Correct Answer is B

Explanation

A. Asking about skin color changes can provide information about vascular problems like Raynaud’s phenomenon but is not the priority given the client’s symptoms.
B. Palpating the dorsalis pedis and posterior tibial pulses assesses arterial blood flow, which is crucial because the client’s symptoms suggest peripheral arterial disease (intermittent claudication). This is the priority assessment.
C. Checking for tortuous veins assesses venous insufficiency or varicose veins, which do not align with the client’s symptoms.
D. Assessing for unilateral swelling, redness, and tenderness checks for deep vein thrombosis (DVT), which is unlikely based on the pain that resolves with rest.

A. Intermittent claudication of the legs. B. Numbness and tingling in both feet. C. Feeling of heaviness in both legs. D. Calf pain on dorsiflexion of the foot.

Correct Answer is C

Explanation

A. Intermittent claudication is a symptom of arterial insufficiency, not varicose veins.
B. Numbness and tingling suggest nerve involvement, not typical for superficial varicose veins.
C. A common complaint in varicose veins is a feeling of heaviness or aching in the legs due to venous insufficiency and blood pooling.
D. Calf pain on dorsiflexion (Homan's sign) suggests deep vein thrombosis (DVT), not superficial varicose veins.

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The nurse is preparing discharge instructions for a client with Raynaud's Disease. Which teaching point would the nurse include in the teaching plan?

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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