Final answer:
A hyperlipidemic client should use liquid vegetable oil, increase fruit intake, choose whole grains, remove poultry skin, and avoid whole milk products to reduce coronary heart disease risk.
Step-by-step explanation:
To lower the risk of coronary heart disease, dietary modifications for a client with hyperlipidemia should include: using liquid vegetable oil, increasing intake of fruits, and choosing whole grain foods. These modifications are recommended because they introduce more unsaturated fats and fiber into the diet, which can help manage cholesterol levels. It is also beneficial to remove skin from poultry to reduce saturated fat intake.
However, one should not select whole milk products, as they are high in saturated fats; instead, low-fat or fat-free dairy options should be chosen.