Patient Data Exhibits After two days of intensive care, the client is transferred to the telemetry floor. The floor nurse is preparing a plan of care for the client. Which modifiable risk factor(s) should the nurse include in the teaching for this client? Select all that apply.

Rationale: A. Family history: A positive family history of aneurysm or cardiovascular disease increases risk but is a nonmodifiable factor. The nurse cannot intervene to change genetic predisposition, so it is excluded from modifiable teaching priorities. B. Obesity: Excess body weight contributes to hypertension, atherosclerosis, and increased arterial wall stress, all of which accelerate aneurysm formation and growth. Weight management through diet and activity should be emphasized in teaching. C. Tobacco use: Smoking is one of the most significant modifiable risk factors for aneurysm progression and rupture. Nicotine damages the vascular endothelium and promotes atherosclerotic changes, making smoking cessation a critical teaching point. D. Male gender: Being male is an inherent, nonmodifiable risk factor associated with higher incidence of abdominal aortic aneurysms. It cannot be altered through intervention or lifestyle modification. E. Age: Advancing age weakens arterial walls and increases aneurysm risk, but it is nonmodifiable and therefore not a focus of preventive teaching. F. Hypertension: Elevated blood pressure increases mechanical stress on the aortic wall, accelerating aneurysm enlargement and rupture risk. Teaching should include adherence to antihypertensive medication, diet modification, and regular blood pressure monitoring. G. High cholesterol: Hyperlipidemia promotes plaque buildup, weakening the vessel wall and impairing circulation. Diet, exercise, and adherence to lipid-lowering medications are essential to reduce vascular strain and aneurysm progression.