A nurse is admitting a 45-year-old man to the medical unit who has a history of PAD
While providing his health history, the patient reveals that he smokes about two packs of cigarettes a day, has a history of alcohol abuse, and does not exercise. What would be the priority health education for this patient?
A) The lack of exercise, which is the main cause of PAD.
B) The likelihood that heavy alcohol intake is a significant risk factor for PAD.
C) Cigarettes contain nicotine, which is a powerful vasoconstrictor and may cause or aggravate PAD.
D) Alcohol suppresses the immune system, creates high glucose levels, and may cause PAD.
Ans: C
Feedback:
Tobacco is powerful vasoconstrictor; its use with PAD is highly detrimental, and patients are strongly advised to stop using tobacco. Sedentary lifestyle is also a risk factor, but smoking is likely a more significant risk factor that the nurse should address. Alcohol use is less likely to cause PAD, although it carries numerous health risks.
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