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Difficulty: EasyLifestyle Choices

A client with a history of cardiovascular disease is receiving discharge instructions. The nurse is reinforcing education regarding heart-healthy lifestyle choices. Which of the following actions by the nurse are appropriate? Select all that apply.

  1. Encourage the client to engage in at least 30 minutes of moderate-intensity walking on most days.Answer
  2. Suggest substituting high-sodium processed snacks with fresh fruits and vegetables.Answer
  3. C
    Instruct the client that their ethnic dietary practices are forbidden on a heart-healthy plan.
  4. D
    Tell the client, 'Don't worry, everything will be fine as long as you take your medication.'
  5. E
    Assign the unlicensed assistive personnel (UAP) to teach the client how to interpret nutritional labels.

Answer

The correct actions are encouraging daily moderate-intensity walking and suggesting the substitution of high-sodium snacks with fresh fruits and vegetables.
Promoting regular moderate daily exercise and suggesting healthy dietary substitutions are fundamental, evidence-based lifestyle modifications that directly support cardiovascular health and empower the client.

Step-by-Step Solution

1
Analyze the client's educational needs based on their diagnosis.
The client requires reinforcement of heart-healthy lifestyle choices, specifically regarding diet and exercise.
To ensure safe and effective self-care management at home following discharge.
2
Evaluate each nursing action for safety, scope of practice, and therapeutic approach.
Promoting exercise and dietary substitutions are correct. Banning cultural foods, using false reassurance, and delegating education to a UAP are incorrect practices.
To identify interventions that align with practical nursing standards and promote optimal client outcomes.

Key Concept

Reinforcement of cardiovascular lifestyle modifications
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Topics

Lifestyle Choices

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