Question

A client newly diagnosed with hypertension is discussing risk factors with the nurse. The nurse talks about lifestyle changes with the client and advises that the client should avoid tobacco use. What is the primary rationale behind that advice to the client?

a. Quitting smoking will cause the client's hypertension to resolve.
b. Tobacco use increases the client's concurrent risk of heart disease.
c. Tobacco use is associated with a sedentary lifestyle.
d. Tobacco use causes ventricular hypertrophy.

Answer 1

The primary rationale for advising clients with hypertension to avoid tobacco is because tobacco use increases the risk of heart disease, due to its effects on heart rate, blood pressure, and blood vessel integrity.

Step-by-step explanation:

The primary rationale behind the advice that a client with hypertension should avoid tobacco use is that tobacco use increases the client's concurrent risk of heart disease. Smoking causes a range of cardiovascular effects, such as an increase in heart rate, blood pressure, and the formation of blood clots, which are substantial risk factors for both hypertension and heart disease. Additionally, the chemicals in tobacco smoke can lead to the narrowing and weakening of blood vessels.

Smoking cessation is therefore a critical lifestyle change in managing hypertension. It also helps lower the risk of developing other cardiovascular conditions, such as atherosclerosis, which is a buildup of plaques in arteries that can restrict blood flow, further increasing the risk of heart disease and stroke. Moreover, the reduction of exposure to stressors associated with smoking can also contribute to better cardiovascular health.