Final answer:
3. Stop smoking because it causes cutaneous blood vessel spasm. The best discharge instruction for a client with Raynaud's disease is to stop smoking, as it can worsen their condition by causing cutaneous blood vessel spasm. Wearing gloves and warm clothing can help, but smoking cessation is more critical for managing the condition effectively.
Step-by-step explanation:
The most appropriate advice for a client with Raynaud's disease from the options provided would be to stop smoking because it causes cutaneous blood vessel spasm. Smoking is a known factor that can exacerbate Raynaud’s disease, as it affects blood circulation and can lead to narrowing of blood vessels, resulting in further complications. The nurse should ensure the client understands the importance of keeping warm but also educate them on the negative impact of smoking on their condition, which can trigger or worsen episodes of vasoconstriction, especially in the extremities.Raynaud's disease is a condition marked by episodic vasoconstriction of the peripheral blood vessels, leading to decreased blood flow to the extremities.
It's essential for individuals with this condition to avoid triggers that could cause a flare-up, including exposure to cold or stress. Gloves can be worn when necessary to prevent cold exposure, but instructing a client to wear gloves 'for all activities involving the use of both hands' is impractical and does not address the fact that not all activities may result in cold exposure or a Raynaud's episode. Warm clothing is beneficial, but it is more important to layer appropriately and be adaptive to the environment rather than wearing warm clothes at all times, even in warm climates.