A client with atherosclerosis is attempting to stop cigarette smoking with the use of a nicotine patch. Which statement by the client indicates a good understanding of smoking cessation education?
a. "Abruptly discontinuing this patch can cause high blood pressure."
b. "Abruptly discontinuing this patch can cause nausea and vomiting."
c. "Smoking while using this patch increases the risk of respiratory infection."
d. "Smoking while using this patch increases the risk of a heart attack."
D
Nicotine constricts blood vessels, increases mean arterial pressure, and increases afterload. Smoking while using a nicotine patch increases afterload to such an extent that the myocardium must work harder, with coronary arteries constricted. This may cause a myocardial infarction.
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