A nurse is admitting a 45-year-old man to the Medical Surgical unit. The patient has a diagnosis of Buerger's disease
While taking the patient's health history he reveals that he smokes about 2 packs of cigarettes a day, has a history of alcohol abuse, and does not exercise. What would be the priority teaching for this patient?
A) The lack of exercise, which is the identified cause of Buerger's disease.
B) The likelihood that drinking alcohol and not exercising may cause his death in the near future without a significant change in behavior.
C) The cigarettes contain nicotine, which is a powerful vasoconstrictor and may cause or aggravate Buerger's disease.
D) The fact that alcohol suppresses the immune system, creates high glucose levels, and may cause Buerger's disease.
Ans: C
Feedback: Tobacco is powerful vasoconstrictor; its use with Buerger's disease is highly detrimental, and patients are strongly advised to stop using tobacco. Symptoms are often relieved by cessation of smoking along with all types of tobacco use. Option A is incorrect; the identified cause of Buerger's disease is believed to be autoimmune in nature, resulting in occlusion of distal vessels. Option B is incorrect; although drinking alcohol is not suggested and exercise is encouraged for patients with Buerger's disease, there is no evidence to suggest that "drinking alcohol and not exercising" dramatically increases the patients' short-term risk of death. Option D is incorrect; alcohol is not a significant factor or cause of Buerger's disease.
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