A nurse reviews nutritiоnаl plаns fоr fоur clients with cаrdiovascular disease. Client A has heart failure with 3+ pitting edema, consuming 4500 mg sodium daily with fluid intake of 3000 mL/day. Client B has hypertension controlled on medication, following a 2400 mg sodium diet with regular exercise. Client C has atrial fibrillation on warfarin, eating large daily servings of spinach and kale. Client D has coronary artery disease with LDL 95 mg/dL, following a low saturated fat diet. Which client's current nutritional pattern most significantly contradicts medical nutrition therapy principles?