Final answer:
The nurse should instruct the patient to stop smoking to reduce the risk of a cardiovascular event such as stroke or myocardial infarction.
Step-by-step explanation:
The nurse should include the instruction to stop smoking in order to reduce the risk of a cardiovascular event such as stroke or myocardial infarction in a patient taking estrogen daily. Smoking is a major risk factor for cardiovascular disease and can increase the likelihood of blood clots and the accumulation of plaque in the arteries.
Aerobic activities should not be reduced, as they are beneficial for cardiovascular health. Increasing dietary intake of trans fat should be avoided, as it can raise cholesterol levels and increase the risk of cardiovascular disease.
Taking the medication with food is not directly related to reducing the risk of a cardiovascular event.