A 46-year-old male client who had a myocardial infarction (MI) 24 hours ago comes to the nurse's station fully dressed and wanting to go home. He tells the nurse that he is feeling much better at this time. Based on this behavior, which client problem should the nurse include in the plan of care?

Choice B is correct because sodium intake can be regulated by limiting canned foods in the diet. Canned foods often contain high amounts of sodium as a preservative, which can increase blood pressure and fluid retention. The nurse should advise the client to choose fresh or frozen foods instead of canned foods or rinse them before eating.

Choice C is correct because salt substitutes can help with maintaining a healthy diet by reducing sodium intake. Salt substitutes are products that contain potassium chloride or other ingredients that mimic the taste of salt but have less or no sodium. The nurse should advise the client to use salt substitutes sparingly and check with their healthcare provider before using them if they have kidney problems or take certain medications.

Choice D is correct because weight management is promoted by taking daily walks for thirty minutes. Being overweight or obese can increase blood pressure and strain the heart and blood vessels. The nurse should advise the client to lose weight or maintain a healthy weight by engaging in regular physical activity and eating a balanced diet.

Choice F is correct because uncontrolled hypertension can lead to renal damage. High blood pressure can damage the blood vessels in the kidneys and impair their function, leading to chronic kidney disease or failure. The nurse should advise the client to monitor their blood pressure regularly and take prescribed medications as directed.

Choice A is incorrect because alcohol consumption can produce vascular changes that increase blood pressure. Alcohol can cause vasodilation, which lowers blood pressure temporarily, but also stimulates the sympathetic nervous system, which raises blood pressure over time. The nurse should advise the client to limit alcohol intake to no more than one drink per day for women and two drinks per day for men.

Choice E is incorrect because blood pressure readings should not be taken at noontime. Blood pressure readings should be taken at the same time each day, preferably in the morning before breakfast or in the evening before dinner, when blood pressure is usually lower and more stable. The nurse should advise the client to avoid taking blood pressure readings when they are stressed, anxious, or have just exercised or eaten.

Choice A: Assessing pupillary response to light hourly is not an intervention that the nurse should implement while administering dopamine, as this is not related to the effects or side effects of dopamine. This is a distractor choice.

Choice B: Initiating seizure precautions is not an intervention that the nurse should implement while administering dopamine, as this is not a common or expected complication of dopamine. This is another distractor choice.

Choice C: Monitoring serum potassium frequently is not an intervention that the nurse should implement while administering dopamine, as this is not affected by dopamine or hypotension. This is another distractor choice.

Choice D: Measuring urinary output every hour is an intervention that the nurse should implement while administering dopamine, as this can indicate the effectiveness of dopamine in improving renal perfusion and blood pressure. Therefore, this is the correct choice.