The nurse is caring for a patient with Raynaud's disease who is employed as a construction worker, has hypertension, and smokes 1/2 to 1 pack of cigarettes per day
What teaching points should the nurse include in discharge instructions? (Select all that apply.) a. Wear gloves during cool weather.
b. Drink plenty of warm beverages, such as coffee.
c. Insulated socks are advisable when work-ing in cool weather.
d. Attend a smoking program.
e. Wear gloves when handling hot objects at work.
A, C, D, E
The patient with Raynaud's disease should avoid cold temperatures when possible. Since this patient's job may expose him to cold temperatures, it is important that he wear gloves and insu-lated socks when working in cold temperatures. Smoking increases vasoconstriction, which is detrimental to both hypertension and Raynaud's. Sensation in the fingers is often affected so gloves should be worn when handling hot objects in order to prevent burns. Caffeine should be avoided as it causes vasoconstriction.
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