Which of the following clients who are receiving care at a primary care clinic is most at risk for developing heart disease?
1. Elizabeth Elliot, a 55-year-old schoolteacher who is 30 pounds overweight, does not smoke, and has no family history of heart disease. Her blood pressure is 124/84 mm Hg, and her cholesterol is 220 mg/dL.
2. Frank Fuller, a 45-year-old insurance salesman who is near his optimal weight, does not smoke, and has a family history (father) of heart disease. His blood pressure is 140/92 mm Hg, and his cholesterol is 180 mg/dL.
3. Grace Geer, a 42-year-old bank executive who is 15 pounds overweight, smokes 1 pack per day, and has a family history (both grandfathers) of heart disease. Her blood pressure is 130/68 mm Hg, and her cholesterol is 190 mg/dL.
4. Harlan Harris, a 54-year-old truck driver who is 25 pounds overweight, smokes 1 pack per day, and has a family history (father, grandfather) of heart disease. His blood pressure is 136/92 mm Hg, and his cholesterol is 250 mg/dL.
ANS: 4
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