A health care provider was asked by a client, "Why do my hands turn blue when I drive my car in the winter without gloves?" Which of the following is the best response?
A) "Nothing to worry about. We all develop this as we age."
B) "We better order a CT scan. It might be due to a blood clot in your radial artery."
C) "This sounds like an inflammation in the lining of your veins. You need to take some NSAIDs."
D) "Your arteries in your hands/fingers are going into spasm, which decreases blood flow and circulating oxygen."
Ans: D
Feedback:
Raynaud disease is caused by vasospasms of small distal arteries; thromboangiitis obliterans is caused by an inflammatory process that affects veins and nerves.
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