A client with a history of myocardial infarctions states to the nurse, "I have been smoking for 35 years. It will not matter if I stop now." Which is the priority response from the nurse?
A) "Your risk of continued coronary heart disease will decrease by half when you stop."
B) "Quitting will enhance the effects of your medications."
C) "Your risk of lung cancer will be reduced."
D) "Quitting will decrease any complications you might develop."
Answer: A
Smoking cessation reduces the risk for coronary heart disease by 50% no matter how long the person has smoked. It will reduce lung cancer, decrease complications, and possibly enhance medication effects, but the primary focus for this client is the effect on coronary heart disease.
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