Patho Patho #33

Question

The nurse recognizes that which activity should be discouraged for a client with Raynaud disease?

Answers

  1. Stress reduction activities.
    • Rationale:

      This answer choice is not correct as stress reduction activities should be encouraged in clients with Raynaud phenomenon as stress exacerbates arteriole spasms.

  2. Wearing gloves outside during cold weather.
    • Rationale:

      This answer choice is not correct as clients with Raynaud phenomenon should be encouraged to wear gloves during cold weather to help prevent arteriolar spasms.

  3. Getting ice out of the freezer without protecting the hands.
    • Rationale:

      This answer is correct because clients with Raynaud phenomenon should be discouraged from removing items from the freezer without wearing protection on their hands.

  4. Enrolls in a smoking cessation program.
    • Rationale:

      This answer choice is not correct because clients with Raynaud phenomenon should be encouraged to enroll in a smoking cessation program. Smoking exacerbates arteriolar spasms and clients with Raynaud should be encouraged not to smoke.

Overview

Raynaud phenomenon is a disorder which causes spasms within small arteries, or arterioles. These spasms usually affect the fingers and less commonly the toes causing them to turn very pale and then blue during spasms. Exposure to cold temperatures exacerbate spasms and clients should be taught to always protect the hands when removing items from the freezer.

Explanation

Learning Outcomes

The focus of this question is asking the nurse to choose the incorrect information to provide to a client with Raynaud phenomenon. Raynaud phenomenon is a disorder of the small arteries in which vasospasms occur in response to certain triggers including cold temperatures. Clients should therefore be discouraged from removing items from the freezer without wearing protection on their hands.

Test Taking Tip

Make sure to read the question carefully. This question was asking for incorrect information therefore making the incorrect client teaching the correct answer.

Video Rationale