The Client Has Smoked a Pack of Cigarettes Per Day

The client has smoked a pack of cigarettes per day for twenty years. The client also takes oral contraceptives. In implementing a teaching plan, what is the most important information for the nurse to include?

A) You are at a higher risk for emphysema than nonsmokers.
B) The nicotine will decrease the effectiveness of your birth control pills.
C) You are at a higher risk for developing diabetes than smokers who do not use birth control pills.
D) You are at a higher risk for a heart attack than nonsmokers.