The nurse is taking care of a male client who comes to the health clinic for a wellness check
During the routine physical exam by the nurse, the assessment findings are as follows: The blood pressure is 148/88, heart rate is 92, waist circumference is 120 cm, weight is 80 kilograms, lungs clear. The lab results are: HDL 32mg/dL; glucose of 120 mg/dL. Which of the following is the priority teaching point for this client? 1. Advise the client to begin an exercise and weight-loss program because the client is at higher risk for development of cardiovascular disease.
2. Advise the client to continue with current practices because the client is experiencing no health problems.
3. Advise the client that there is a high risk for cardiovascular disease, but there is nothing that can be done until signs and symptoms of cardiovascular disease develop.
4. Advise the client to not smoke because tobacco is associated with cardiovascular disease.
Advise the client to begin an exercise and weight-loss program because the client is at higher risk for development of cardiovascular disease.
Rationale: The client is at risk for developing cardiovascular disease because this client has metabolic syndrome based upon the elevated blood pressure, the abdominal fat, the low HDL, and the elevated glucose. Advising the client to continue with current practices is not sound advice, as a weight reduction and exercise plan could decrease the client's risk factors. Once the client experiences signs of cardiovascular disease, it becomes too late to prevent cardiovascular disease. Advising the client to not smoke is a valid intervention and should be included in the overall plan to reduce the client's risk for cardiovascular disease, but will not by itself reduce the factors that place this client in the category of metabolic syndrome.
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