A co-worker asks the nurse is to review the following discharge instructions with an assigned patient. Based on the content to be reviewed, the nurse should realize that the patient has what health problem? $$\begin{array} { | c | l |}
\hline \begin{array} { l }
\text { Discharge } \
\text { Instructions }
\end{array} & \text { Name: } \
\hline 1 . & \begin{array} { l }
\text { Follow-up appointment with smoking cessation program on (date } \
\text { included). }
\end{array} \
\hline 2 . & \begin{array} { l }
\text { Avoid exposure to cold temperatures or handling cold objects. Wear } \
\text { gloves. Dress warmly. }
\end{array} \
\hline 3 . & \text { Prevent injury to the extremities. } \
\hline 4 . & \begin{array} { l }
\text { Take calcium channel blocker medication nifedipine (Procardia) as } \
\text { prescribed. }
\end{array} \
\hline 5 . & \begin{array} { l }
\text { Follow-up appointment with stress management program on (date } \
\text { included). }
\end{array} \
\hline 6 . & \text { Call physician's office for one-month follow-up appointment. }\
\hline
\end{array}$$

Question

A co-worker asks the nurse is to review the following discharge instructions with an assigned patient. Based on the content to be reviewed, the nurse should realize that the patient has what health problem? $$\begin{array} { | c | l |} 
\hline \begin{array} { l } 
\text { Discharge } \
\text { Instructions }
\end{array} & \text { Name: } \
\hline 1 . & \begin{array} { l } 
\text { Follow-up appointment with smoking cessation program on (date } \
\text { included). }
\end{array} \
\hline 2 . & \begin{array} { l } 
\text { Avoid exposure to cold temperatures or handling cold objects. Wear } \
\text { gloves. Dress warmly. }
\end{array} \
\hline 3 . & \text { Prevent injury to the extremities. } \
\hline 4 . & \begin{array} { l } 
\text { Take calcium channel blocker medication nifedipine (Procardia) as } \
\text { prescribed. }
\end{array} \
\hline 5 . & \begin{array} { l } 
\text { Follow-up appointment with stress management program on (date } \
\text { included). }
\end{array} \
\hline 6 . & \text { Call physician's office for one-month follow-up appointment. }\
\hline
\end{array}$$

Quizplus · Accepted Answer

The instructions to avoid exposure to cold temperatures and to wear gloves and dress warmly, as well as the instruction to prevent injury to the extremities, indicate that the patient likely has Raynaud disease, a condition in which the blood vessels in the fingers and toes constrict in response to cold or stress, causing pain, numbness, and tingling. The follow-up appointment with a stress management program also supports this diagnosis. The other conditions listed do not typically involve the symptoms or management described in the discharge instructions.

A Co-Worker Asks the Nurse Is to Review the Following