Practice Question # 553.
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- Question 1 of 1
A client with Raynaud’s disease is experiencing an acute attack. The nurse should anticipate which of the following assessment findings?Correct
The Answer is 3
The cause of Raynaud’s disease is unknown; however, after exposure to cold or stress, the client typically experiences blanching of the skin at the fingertips and numbness and tingling of the fingers.Incorrect
The Answer is 3
The cause of Raynaud’s disease is unknown; however, after exposure to cold or stress, the client typically experiences blanching of the skin at the fingertips and numbness and tingling of the fingers.
Raynaud’s disease ( Review)
- Raynaud’s disease is vasospasm of the arterioles and arteries of the upper and lower extremities.
- Vasospasm causes constriction of the cutaneous vessels.
- Attacks are intermittent and occur with exposure to cold or stress.
- Affects primarily fingers, toes, ears, and cheeks
- Blanching of the extremity, followed by cyanosis during vasoconstriction
- Reddened tissue when the vasospasm is relieved
- Numbness, tingling, swelling, and a cold temperature at the affected body part
- Monitor pulses.
- Administer vasodilators as prescribed.
- Instruct the client regarding medication therapy.
- Assist the client to identify and avoid precipitating factors such as cold and stress.
- Instruct the client to avoid smoking.
- Instruct the client to wear warm clothing, socks, and gloves in cold weather.
- Advise the client to avoid injuries to fingers and hands.