A client who was recently diagnosed with Raynaud’s disease is concerned about pain management. Which nursing instruction should the nurse provide?

Painful areas should be rubbed gently until the pain subsides.

Wearing gloves when handling cold items guards against painful spasms.

Return appointments will be needed for IV pain medication.

Enrolling in a pain clinic can provide pain relief alternatives.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Rubbing painful areas gently until the pain subsides is not typically recommended for managing pain in Raynaud’s disease. This could potentially cause more harm than good19.
Choice B rationale
Wearing gloves when handling cold items can help guard against painful spasms in Raynaud’s disease. Cold temperatures can trigger Raynaud’s attacks, so protecting the hands from cold is a key part of managing the condition19.
Choice C rationale
The need for return appointments for IV pain medication is not typically a primary component of pain management in Raynaud’s disease. Pain in Raynaud’s disease is usually managed through lifestyle modifications and medications19.
Choice D rationale
While enrolling in a pain clinic can provide pain relief alternatives, it’s not the first line of management for pain in Raynaud’s disease. The primary management strategies include avoiding cold exposure and using medications to improve blood flow19.

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Correct Answer is D

Explanation

Choice A rationale
Brown, rough, greasy, wart-like papules on the face are not typically associated with overexposure to PUVA treatment. These symptoms could be indicative of a different skin condition.
Choice B rationale
Thick skin plaques topped by silvery-white scales are characteristic of psoriasis vulgaris, not overexposure to PUVA treatment. PUVA is used to treat these symptoms, not cause them.
Choice C rationale
Needing sunglasses because sunlight hurts the eyes is not a typical sign of overexposure to PUVA treatment. This could be a sign of a different issue, such as an eye condition or side effect from a different medication.
Choice D rationale
Tenderness upon palpation and generalized erythema are signs of overexposure to PUVA treatment. If a patient is overexposed to PUVA, they may experience a burning sensation, discomfort, and redness at the treatment site.

A. Chronic insomnia. B. Puffy, bleeding gums. C. Double vision. D. Blood pressure 100/78 mm Hg.

Correct Answer is C

Explanation

C. Double vision.Double vision, or diplopia, can indicatephenytoin toxicity, which is a serious condition that may lead to impaired vision and increased risk of falls or injuries. This side effect suggests that the patient may be experiencing adverse reactions to the medication, necessitating prompt evaluation and intervention, such as checking serum phenytoin levels and possibly adjusting the medication regimen

.The other options do not require immediate intervention:

A. Chronic insomniais not a critical side effect of phenytoin and may be managed with lifestyle modifications or further assessment.
B. Puffy, bleeding gumsare common side effects associated with phenytoin (gingival hyperplasia) but are not immediately life-threatening.
D. Blood pressure 100/78 mm Hgis within normal limits and does not indicate a need for urgent action

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A client who was recently diagnosed with Raynaud’s disease is concerned about pain management. Which nursing instruction should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates that the client has been overexposed to the treatment?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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