An Adult Client with a BMI of 39 Who Smokes

Multiple Choice

An adult client with a BMI of 39 who smokes 1 pack of cigarettes per day is admitted to the hospital with chest pressure. After myocardial infarction is ruled out, the client is diagnosed with erosive esophagitis through upper GI endoscopy. The client now refuses all medications and states, "I'm not getting hooked on any pills." What would the nurse recommend for the multidisciplinary collaborative plan? Select all that apply.

A) Assess the client's readiness for change in smoking cessation and weight loss.
B) Interview the client and spouse for a 24-hour recall of usual food content, intake, and meal times.
C) Enlist the client's son to elevate the foot of the client's bed at home 6 inches.
D) Offer the client a surgical consult to reduce the necessity of medication.
E) Omit the pharmacist notification of the Multidisciplinary Team meeting about the client.