The nurse is caring for a client with Buerger's disease. What client education does the nurse provide to minimize disease progression?
a. "Keep environmental temperatures warm."
b. "Avoid highly stressful activities."
c. "Use a heating pad on your extremities."
d. "Abstain from all forms of tobacco."
D
The greatest risk factor for the development and progression of Buerger's disease is cigarette smoking. To prevent the progression of Buerger's disease, complete abstinence from tobacco in all forms is essential. The vasoconstrictive effects of each cigarette may last up to 1 hour after the cigarette is smoked. Teach the client to avoid extreme cold or prolonged exposure to cold to prevent vasoconstriction. Keeping the environment warm will minimize vasoconstriction but has no direct effect on disease progression. Heating pads should be avoided because injury can occur secondary to decreased sensation in the lower extremities.
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