Question

A nurse is taking an admission history from a client who reports Raynaud’s disease. Which of...

A nurse is taking an admission history from a client who reports Raynaud’s disease. Which of the
following assessment findings should the nurse identify as a potential trigger for exacerbations
of Raynaud’s?
a. Using a nicotine transdermal patch
b. A history of herpes zoster
c. Taking amlodipine for hypertension
d. Eating a strict vegetarian diet

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Answer #1

b, A history of herpes zoster
Raynauds phenomenon affects the fingers, toes, ears, nose, and tongue. it is usually triggered by cole temperature, anxiety, and stress. stress affects the immune system and increases herpes zoster. salmonella, herpes zoster, and candida infections more common in patients with SLE due to altered immune systems.
amlodipine is a calcium channel blocker. Calcium channel blockers cause arteriolar vasodilation and increase peripheral blood flow that treat the patient Raynaud's diseases.
some foods and medications can exaggerate vasospasm inlcuding caffeine and drugs. a diet with omega 3 fatty acids benefits prevent the Raynaud's phenomenon.
Nicotine patches are used for smoking cessation. nitroglycerine ointment, sublingual medications, transdermal patches used in the therapy of Raynaud's phenomena.

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