A 52-year-old client has a blood pressure of 130/90, weighs 225, ...

[ssal]

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

Question 2

The nurse is instructing a client recovering from pacemaker insertion surgery on signs that the pacemaker might not be functioning correctly. What should the client be instructed to report?
 
  1. Weight gain of 5 pounds
  2. Activity tolerance
  3. Dizziness
  4. Diarrhea

[Dinolord]

Answer to Question 1

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.

Answer to Question 2

Answer: 3

1. Weight gain does not need to be reported, as it has no effect on pacemaker functioning.
2. The client should be better able to tolerate activity, as the heart rate should be normal.
3. Dizziness in a heart client can indicate a decrease in cardiac output and a failure of the pacemaker to perform appropriately.
4. Diarrhea is not a sign of a malfunctioning pacemaker.

[ssal]

Thank you

[Dinolord]

Happy to help you