The nurse is providing an education session to an adult community group about the effects of smoking. Which of the following is the most important point to be included in the educational session?

a. Smoke from tobacco products clings to your clothing and hair.
b. Smoking affects the cilia lining the upper airways in the lungs.
c. Smoking tobacco products can be very expensive.
d. Smoking can affect the color of the patient's fingernails.


ANS: B
A normal defense mechanism against infection in the respiratory tract is the cilia lining the upper airways of the lungs and normal mucus. When a patient inhales a microbe, the cilia and mucus trap the microbe and sweep them up and out to be expectorated or swallowed. Smoking may alter this defense mechanism and increase the patient's potential for infection. Smoking can be expensive, the smell does cling to hair and clothing, and the tar within the smoke can alter the color of a patient's nails. This information can be included in the education but does not constitute the most important point.

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