The nurse is providing discharge education for a client who is at risk for cardiovascular disease. Which statement by the client indicates a need for additional education?

Choice A reason: This statement shows good understanding. Many cardiovascular medications, such as antihypertensives or statins, must be taken consistently to maintain therapeutic levels and prevent complications. Clients often mistakenly stop medications when they feel "fine," so reinforcing adherence is a key goal of discharge teaching. Choice B reason: This statement indicates a positive dietary change. Increasing intake of fiber-rich fruits and vegetables helps lower cholesterol and improve vascular health. It demonstrates that the client understands the role of nutrition in managing cardiovascular risk, so no further education is required on this specific point. Choice C reason: Switching to electronic cigarettes (vaping) still exposes the cardiovascular system to nicotine and other harmful chemicals. Nicotine causes vasoconstriction, increases heart rate, and elevates blood pressure. The nurse must clarify that total cessation of all nicotine products is necessary to effectively reduce cardiovascular risk. Choice D reason: Limiting saturated and trans fats is a fundamental recommendation for preventing atherosclerosis. This statement shows the client understands how to reduce the intake of "bad" fats that contribute to arterial plaque formation. Therefore, this indicates successful learning and does not require additional corrective education.