Progressive Care Nursing Certification (PCCN) Practice Exam

Why is smoking cessation particularly emphasized for patients with peripheral vascular disease?

1. It enhances exercise tolerance

2. It is the most significant non-pharmacological intervention

3. It prevents hypertension

4. It eliminates medication side effects

The correct answer is: It is the most significant non-pharmacological intervention

The emphasis on smoking cessation for patients with peripheral vascular disease (PVD) is founded on the substantial evidence that it serves as the most significant non-pharmacological intervention to improve outcomes and manage the disease effectively. Smoking contributes to the progression of vascular disease by causing endothelial damage, promoting atherosclerosis, and leading to reduced blood flow, which exacerbates the symptoms of PVD, such as pain and claudication. When patients stop smoking, they can experience a range of benefits, including improved circulation, reduced risk of further arterial blockage, and enhanced healing capabilities. This lifestyle change can significantly slow the progression of the disease and can also improve the effectiveness of other treatments and interventions being used to manage PVD. Emphasizing smoking cessation is crucial because the health benefits obtained from quitting smoking far outweigh those from many pharmacological treatments, making it a central focus in the management of patients with this condition.