The patient with Raynaud's disease has a nursing diagnosis of "Ineffective tissue perfusion related to vasoconstriction" is being given discharge instructions. The nurse would caution the patient to:
1. avoid defrosting the freezer.
2. wear gloves and warm socks when outdoors.
3. chafe hands frequently to warm them.
4. wash dishes in warm water.
1
Chafing hands to warm them does not provide vasodilation and may cause tissue damage. Avoiding exposure to cold is paramount to prevent pain and tissue damage. Raynaud's dis-ease involves constriction of the arterioles of the hands, toes, and nose. Pain is a cardinal symptom and can be relieved with methods to promote vasodilation.
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