A client diagnosed with peripheral vascular disease (PVD) is obese, has a 30-year history of cigarette smoking, and works as a contractor
When discussing risk factors for PVD, which statement by the nurse is appropriate?
A) "Nicotine is a vasoconstrictor."
B) "Obesity is a factor in cardiovascular disease but not peripheral vascular disease."
C) "Nicotine primarily affects coronary arteries and the lungs."
D) "Your current occupation is a major risk factor."
Answer: A
The vasoconstrictive properties of nicotine will worsen the client's (PVD) by further decreasing peripheral blood flow. One of the most important parts of treatment is the cessation of cigarette smoking. The client's occupation is not a risk factor related to PVD. Obesity is a risk factor for both cardiovascular as well as PVD; however, the nurse should focus on smoking cessation as a first priority with this client.
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