A client with hyperlipidemia who is being treated with dietary fat restrictions and an exercise program asks the nurse why his serum lipid levels are still elevated. What activity by the nurse is most appropriate?
a. Developing a very low-fat diet that the client will adhere to
b. Explaining familial tendencies in hyperlipidemia
c. Referring the client to a registered dietitian for weight loss
d. Educating the client on antihyperlipidemic medications
B
The liver of clients with familial hyperlipidemia makes excessive cholesterol and other fats. If the client is compliant with the treatment regimen and problems persist, a familial problem may exist. The client is already on a low-fat diet and exercise program, so further refining the diet and counseling for weight loss is redundant. The nurse might want to explore medications with the client, but education is premature until familial hyperlipidemia has been explored.
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