The nurse is caring for a patient with Raynaud disease who is employed as a construction worker, has hypertension, and smokes one-half to one pack of cigarettes per day

What teaching points should the nurse include in discharge instructions? (Select all that apply.)
a. Wear gloves when handling cold items.
b. Drink plenty of warm beverages, such as coffee.
c. Wear insulated socks when working in cool weather.
d. Attend a smoking program.
e. Use a heating pad to stay warm.


A, C, D, E
The major nursing interventions for Raynaud disease involve teaching the patient to protect ex-tremities and prevent injury. The patient should be taught to dress warmly when in cold envi-ronments. Clothing should be layered and nonrestrictive. The patient should wear protective clothing like hats, gloves, and warm socks. The patient should wear protective gloves when reaching into ovens and when handling extremely cold items. The patient should also manage stress and stop tobacco use. Caffeine intake should be limited. The patient should not use a heat-ing pad for warmth due to risk for burns.

Nursing

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