The nurse making a teaching plan for a patient with Buerger ...

[skymedlock]

The nurse making a teaching plan for a patient with Buerger disease (thromboangiitis obliterans) will focus on the need for:
 
  a. reduction of alcohol intake.
  b. avoiding cold remedies.
  c. cessation of smoking.
  d. weight reduction.

Question 2

How should the nurse advise a patient with an international normalized ratio (INR) of 5.8?
 
  a. Make arrangements to go to the emergency room immediately
  b. Increase fluid intake to 2000 mL/day
  c. Stop taking the anticoagulant and notify health care provider
  d. Add more leafy green vegetables to patient diet

[zogaridan]

Answer to Question 1

ANS: C
The hazards of cigarette smoking and its relationship to Buerger disease are the primary focus of patient teaching. None of the palliative treatments are effective if the patient does not stop smoking. Nowhere are the cause and effect of smoking so dramatically seen as with Buerger disease.

Answer to Question 2

ANS: C
The INR that is desired should be maintained between 2 and 3. A reading of 5.8 puts the patient at risk for hemorrhage. The patient should stop taking the anticoagulant and contact the physician for further instruction.