The nurse is working with clients at a health fair. Which teaching takes priority to reduce the risk of atherosclerosis?

a. Instructing a diabetic client not to smoke or use any tobacco
b. Teaching diet changes to a client with elevated cholesterol levels
c. Suggesting limiting alcohol to an older client with hypolipidemia
d. Encouraging exercise to an obese client who lives a sedentary lifestyle


A
Atherosclerosis can be caused by mechanical and/or chemical injury. People with diabetes often have premature, severe atherosclerosis from elevated low-density lipoprotein (LDL) levels and intimal injury from hyperglycemia. Cigarette smoking or other tobacco use releases toxins into the bloodstream and causes vasoconstriction, further contributing to intimal injury. This would be the priority teaching intervention, although all teaching would be appropriate.

Nursing

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