NCLEX-PN® ExaminationHealth Promotion and MaintenanceEasy

A 68-year-old client with a history of hypertension and hyperlipidemia is discussing lifestyle modifications with the practical nurse. The client expresses a desire to improve their overall health. Which of the following recommendations is most appropriate for the practical nurse to emphasize regarding regular physical activity?

  1. ALimiting physical activity to short walks around the house to avoid injury.
  2. BFocusing solely on strength training exercises twice a week to build muscle mass.
  3. CEngaging in high-intensity interval training (HIIT) three times a week for 30 minutes.
  4. DAiming for at least 150 minutes of moderate-intensity aerobic activity per week.
Show answer & explanation

Correct answer: D. Aiming for at least 150 minutes of moderate-intensity aerobic activity per week.

The recommended guideline for adults, including older adults, is at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week, along with muscle-strengthening activities.

Why the other options are wrong

  • A. This is insufficient to achieve significant health benefits and is too restrictive.
  • B. While important, strength training should be combined with aerobic activity for comprehensive health benefits.
  • C. HIIT may be too strenuous for a client with hypertension and hyperlipidemia without prior assessment.

Adult Physical Activity Guidelines

Recommendations for the amount and type of physical activity adults should engage in to achieve significant health benefits.

  • 150 minutes of moderate-intensity aerobic activity per week.
  • 75 minutes of vigorous-intensity aerobic activity per week.
  • Muscle-strengthening activities on 2 or more days a week.

Memory trick: Moderate Movement Makes Many Muscles Move.

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