A co-worker asks the nurse is to review the following discharge instructions with an assigned patient. Based on the content to be reviewed, the nurse should realize that the patient has what health problem?

Question

1. thromboangiitis obliterans
2. atherosclerosis
3. Raynaud disease
4. Buerger disease

Answer 1

Correct Answer: 3
The patient with Raynaud disease has spasms of the small arteries in the digits. There is no specific treatment and the patient is taught to manage the disorder. This includes taking calcium channel blockers such as nifedipine, avoiding exposure to cold and stress, smoking cessation, preventing injuries to the extremities and managing stress. Thromboangiitis obliterans is an inflammatory process manifested by pain and diminished cessation in the extremities. Digits or extremities may be pale, cyanotic or ruddy, and cool or cold to the touch. There are no specific medications to treat this disorder. Smoking cessation is the one most important component in managing this disorder. Blood flow may be improved by exercise, keeping the extremities warm and elevated, and avoiding stress. Buerger disease is another name for this disorder. Atherosclerosis involves deposits of fat, which result in obstruction and hardening of the arteries. Pain is the primary symptom. Management includes smoking cessation, lowering cholesterol, managing hypertension, controlling diabetes, and weight loss.