An older adult complains about experiencing dry eyes daily. Which of the following should the nurse assess to help eliminate Sjögren's syndrome as a potential cause of the patient's complaint?
a. Vitamin A deficiency
b. Environmental allergies
c. Diabetes mellitus history
d. Peripheral arterial disease (PAD)
D
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A Incorrect. Vitamin A deficiency is not a risk factor for Sjögren's syndrome.
B Incorrect. Sjögren's syndrome is an autoimmune disorder unrelated to environ-mental allergies; even if the patient has an environmental allergy, it does not eliminate the possibility of Sjögren's syndrome.
C Incorrect. Diabetes mellitus is an endocrine disorder, and dry eyes are an exo-crine disorder.
D Correct. Because Raynaud's phenomenon is a risk factor for Sjögren's syn-drome, the nurse assesses the older adult to detect clinical indicators of PAD such as peripheral pallor, cyanosis, or erythema resulting from exposure to the cold or from emotional distress.
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Interpret the given notations
3.5 mg