The nurse is caring for a patient with Raynaud’s disease who is employed as a construction worker, has a history of hypertension, and smokes one-half to one pack per day. Which teaching points should the nurse include in the patient’s discharge teaching? (Select all that apply)

Choice A reason: Wearing gloves when handling hot objects protects against burns but is irrelevant to Raynaud’s disease, which involves cold-induced vasospasm causing digital ischemia. Preventing cold exposure is key to avoiding vasospastic episodes, making this teaching point inappropriate, as it does not address the condition’s pathophysiology or triggers. Choice B reason: Insulated socks during cold weather prevent vasospasm in Raynaud’s disease by maintaining warmth in the extremities, reducing the risk of ischemia and pain. Cold exposure triggers vasoconstriction, exacerbating symptoms, so protecting feet is critical, making this a key teaching point for managing this condition effectively. Choice C reason: Smoking cessation is essential for Raynaud’s disease, as nicotine causes vasoconstriction, worsening digital ischemia and vasospasm. A support group aids in quitting, reducing symptom severity and cardiovascular risk, especially given the patient’s hypertension. This is a critical teaching point to prevent disease progression and complications. Choice D reason: Caffeinated beverages cause vasoconstriction, worsening Raynaud’s symptoms by reducing blood flow to digits. They do not promote vasodilation and may exacerbate hypertension. Avoiding caffeine is recommended, making this teaching point incorrect, as it could increase vasospastic episodes and is contraindicated for this patient. Choice E reason: Wearing gloves during cold weather prevents vasospasm in Raynaud’s disease by maintaining hand warmth, reducing ischemia and pain. Cold exposure triggers vasoconstriction, so protecting hands is essential for symptom management, making this a critical teaching point to minimize episodes and improve quality of life.