Patient with Cardiovascular Disease Research Assignment

A 50-year-old male presents to the community clinic. He has just relocated to the area and has no primary provider. He is a long distance truck driver and requires a physical examination to maintain his continued employment.
Physical examination demonstrates a BMI of 33, blood pressure of 180/90 mm Hg, diminished femoral pulses and bilateral varicose veins with 1+ pitting edema in both ankles. He has a 30 year history of smoking two packs of cigarettes per day.
Initial Discussion Post:
Identify the risk factors for cardiovascular problems that should be modified for this patient. 
Using evidence based research, determine which risk factor the RN will address first.
Describe how the RN will implement a patient centered plan to address the priority risk factor for this patient.