Practice Question
A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching?
Answer Choices:
Correct Answer:
“It's not a big deal it my cat scratches my hand as long as I keep It clean."
Rationale:
✅ Raynaud’s involves vasospasm of small arteries, leading to reduced blood flow to the fingers and toes, especially with cold or stress.
✅ Any hand injury (like scratches) is higher risk because poor perfusion slows healing and increases likelihood of skin breakdown/ulceration.
✅ Minor trauma can escalate to infection when tissue oxygenation is reduced, even if the wound looks small at first.
✅ Clients should protect extremities from injury, cold exposure, and constriction, because these trigger vasospasm and worsen ischemia.
✅ The statement minimizes risk, showing the client doesn’t fully understand the importance of preventing trauma to poorly perfused digits.
“I will try to anticipate and avoid stressful situations when possible.”
✅This is correct because stress triggers sympathetic vasoconstriction, worsening Raynaud’s attacks.
✅Reducing stress lowers frequency and severity of vasospasm episodes.
“I will complete the smoking cessation program I started.”
✅This is correct because nicotine causes vasoconstriction and worsens ischemia in Raynaud’s.
✅Smoking cessation is one of the most important lifestyle changes to reduce attacks and complications.
“I will wear gloves when removing food from the freezer.”
✅This is correct because cold exposure is a primary trigger for vasospasm.
✅Gloves help maintain warmth and reduce attack onset.
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This question is from Custom NURS2201 Final Exam 2025 – LFT which contains 74 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 4