The nurse is caring for a patient with Raynauds disease who is employed as a

The nurse is caring for a patient with raynauds

This preview shows page 9 out of 9 pages.

26.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 working in cool weather.d.Attend a smoking program.e.Wear gloves when handling hot objects at work.ANS:A, C, D, EThe 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 insulated 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.DIF:Cognitive Level: ApplicationREF:413-414OBJ:7 (theory)TOP:Raynaud’s DiseaseKEY:Nursing Process Step: InterventionMSC:NCLEX: Health Promotion and MaintenanceCOMPLETION27.The patient who has a history of smoking and alcohol abuse is most likely to develop __________ hypertension.DIF:Cognitive Level: ComprehensionREF:399OBJ:1 (theory)TOP:HypertensionKEY:Nursing Process Step: PlanningMSC:NCLEX: Physiological Integrity: Physiological Adaptation

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture