The client is visiting the healthcare provider's office with complaints of discoloration of her hands. The client states, "My fingertips turn whitish and then later they get really red." The nurse is not surprised to learn from the healthcare provider that the client has which of the following disorders?
1. Lymphedema
2. Raynaud's disease
3. Thrombosis
4. Venous insufficiency
2
Rationale 1: Lymphedema is often described as edema that occurs in an affected extremity that is not draining lymph properly.
Rationale 2: The findings described are consistent with Raynaud's disease, in which the arterioles in the fingers develop spasms, causing intermittent skin pallor or cyanosis, then redness. This condition is most commonly seen in young females.
Rationale 3: These findings are not consistent with a venous clot in the client's arm. Clients with clots may have no symptoms at all or may experience pain.
Rationale 4: Venous insufficiency results in discomfort that is aggravated by prolonged standing or sitting and is relieved by rest. The client's complaints are not consistent with venous insufficiency.
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