NCLEX RN Practice Question # 553

NCLEX Examination.

Practice Question # 553.


 

Nclex

 

Raynaud’s disease ( Review)

Description

  • 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

Assessment

  • 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

Interventions

  1. Monitor pulses.
  2. Administer vasodilators as prescribed.
  3. Instruct the client regarding medication therapy.
  4. Assist the client to identify and avoid precipitating factors such as cold and stress.
  5. Instruct the client to avoid smoking.
  6. Instruct the client to wear warm clothing, socks, and gloves in cold weather.
  7. Advise the client to avoid injuries to fingers and hands.

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