What question should a nurse ask to identify risk factors for oral contraceptive use?

Identifying risk factors for oral contraceptive use is critical for ensuring the safety and health of the individual. A key concern with oral contraceptives is the potential for complications related to certain lifestyle choices, particularly smoking. Smoking is widely recognized as a significant risk factor that can increase the likelihood of adverse cardiovascular events, such as blood clots, stroke, and heart attacks in women who take hormonal contraceptives.

When a nurse asks about smoking habits, it allows them to assess the patient's risk level accurately. For women who smoke, especially those over the age of 35, healthcare providers often recommend alternatives to oral contraceptives due to these heightened risks. The focus on smoking provides essential information that aids in making informed decisions about contraceptive options that ensure patient safety and effectiveness.

The other questions, while they may be relevant to a patient's overall health and lifestyle, do not directly correlate with significant risk factors associated with the use of oral contraceptives. For example, questions regarding exercise, menstrual cramps, or dieting may help build a broader picture of the patient's lifestyle but do not specifically address the potential risks posed by the use of hormonal contraceptives.