A 52-year-old client has a blood pressure of 130/90, weighs 225, and has a cholesterol level of 230. What should the nurse instruct the client as a priority?
1. The importance of decreasing stress in the workplace
2. Diet counseling to reduce weight and cholesterol
3. The importance of good skin care
4. The importance of ingesting 1500 mg of calcium per day
Answer: 2
1. The client could be taught to decrease stress on the job, but there is no evidence of heart disease.
2. The client has risk factors for coronary artery disease with increased weight and age and a high cholesterol. Teaching the client about weight loss and dietary changes to reduce cholesterol is the priority intervention.
3. The client has not reached the age where skin care is vital.
4. Calcium supplements are important, but addressing the client's obvious risks for heart disease is the priority.
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