An African-American 58-year-old man in good health has a blood pressure at 120/73 mm Hg at his annual physical examination

Which of the following is the best goal for the nurse to use to assist him in maintaining his health and wellness into older age? a. Alter modifiable risk factors.
b. Prevent cardiovascular disease.
c. Recognize disease in early stage.
d. Maintain tight glycemic control.


B
The nurse assists this adult in maintaining health and wellness by helping him prevent cardi-ovascular disease; as an older African-American man, he has a high risk of stroke, hypertension, and diabetes mellitus. Furthermore, he is more likely to die of a stroke or heart attack than other people in the United States. To help him prevent cardiovascular disease, the nurse assists him with lifestyle modifications. Specific recommendations the nurse can make include getting regu-lar exercise; learning the warning signs of heart attack and stroke; maintaining a normal weight; controlling blood pressure; eating a well-balanced, low-fat, no-added-salt diet; and avoiding smoking.
Altering modifiable risk factors is a subgoal to preventing cardiovascular disease. Learn-ing the early warning signs of disease is a subgoal to preventing cardiovascular disease. Although he has no clinical indicators of hyperglycemia, he is at risk for developing diabetes mellitus, which is an important subgoal of preventing cardiovascular disease for an African-American man.

Nursing

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