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    HESI RN Medical surgical proctored exam

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

    Explanation & Rationale

    Choice A reason: Rubbing painful areas gently may provide temporary relief, but it is not a specific or effective long-term management strategy for Raynaud's disease. This advice could lead to further discomfort if not done correctly, and it does not address the primary trigger, which is cold exposure.Choice B reason: Enrolling in a pain clinic can provide pain relief alternatives, but this is a general recommendation and not specific to the management of Raynaud's disease. While pain clinics can be helpful for chronic pain management, practical daily interventions are also crucial for this condition.Choice C reason: Wearing gloves when handling cold items is a direct and practical way to prevent painful spasms associated with Raynaud's disease. This condition is characterized by episodes of reduced blood flow to the extremities, typically triggered by cold temperatures. By wearing gloves, the client can protect their hands from cold exposure, which helps prevent these painful spasms.Choice D reason: Return appointments for IV pain medication are not typical for managing Raynaud's disease. Pain management for Raynaud's generally focuses on preventive measures and lifestyle adjustments to avoid triggers, rather than relying on IV medications for pain relief.

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