A nurse is caring for a client who has heart failure.

Exhibits

Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing 

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A Canola oil is a healthier choice compared to saturated fats like butter or coconut oil because it is lower in saturated fat and high in unsaturated fats (monounsaturated and polyunsaturated fats). Using canola oil can help lower LDL (bad) cholesterol levels and reduce the risk of heart disease.

B. Canned vegetables often contain added sodium as a preservative, which can contribute to hypertension (high blood pressure), a risk factor for cardiovascular disease. Therefore, increasing intake

of canned vegetables is not recommended for someone with cardiovascular disease unless they are choosing low-sodium or no-added-salt varieties.

C. Limiting portions of meat helps reduce intake of saturated fats, which can raise LDL cholesterol levels and increase the risk of heart disease. A portion size of 8 ounces is appropriate as part of a heart-healthy diet that emphasizes lean proteins and plant-based sources of protein.

D. Whole milk is higher in saturated fat compared to low-fat or skim milk. Consuming saturated fats increases LDL cholesterol levels, which can contribute to cardiovascular disease. Therefore, drinking whole milk is not recommended for someone with cardiovascular disease who should focus on reducing saturated fat intake.

A Nitroglycerin is a vasodilator that helps relieve angina by dilating blood vessels and increasing blood flow to the heart muscle. It is typically the first-line medication for acute angina attacks. Administering nitroglycerin promptly can help alleviate the client's pain and prevent progression to a myocardial infarction (heart attack).

B. Aspirin is often administered to clients with suspected myocardial ischemia or infarction because it inhibits platelet aggregation, which can reduce the risk of clot formation and further occlusion of coronary arteries. It is typically given early in the management of acute coronary syndrome to prevent clotting complications.

C. While monitoring blood pressure is important in clients with acute angina, especially to assess for hypotension which could indicate cardiogenic shock, it is not the first action. Immediate pain relief and prevention of further ischemic damage take precedence over blood pressure measurement.

D. IV access is important for administering medications and fluids if needed, but it is not the first priority unless the client's condition warrants immediate IV medication administration (such as in severe pain or impending myocardial infarction).