A client who has a body mass index (BMI) of 29 kg/m2 expresses a desire to lose weight. Which action should the nurse implement?
Reference Range:
Body Mass Index (BMI) Overweight [25.0 to 29.9 kg/m2]

Provide assistance in planning high protein, low carbohydrate meals.

Discuss ideas in developing an exercise schedule.

Review the client's dietary intake for the past week.

Instruct the client to eat 3 well-balanced meals daily.

Answer and Explanation

The Correct Answer is B

A.   Provide assistance in planning high protein, low carbohydrate meals. While dietary changes may be helpful for weight loss, focusing solely on macronutrient ratios like high protein and low carbohydrate may not be the most effective approach. Moreover, without addressing physical activity, the client may not achieve their weight loss goals.
B.   Discuss ideas in developing an exercise schedule. Exercise is a crucial component of weight loss and weight management. By discussing and developing an exercise schedule tailored to the client's preferences and abilities, the nurse can help the client achieve their weight loss goals.
C.   Review the client's dietary intake for the past week. Reviewing dietary intake can provide valuable information about the client's current eating habits and areas for improvement. However, without addressing physical activity, it may not be sufficient to help the client achieve weight loss.
D.   Instruct the client to eat 3 well-balanced meals daily. While eating balanced meals is

important for overall health, simply instructing the client to eat three meals daily may not be sufficient for weight loss, especially if the meals are not portion-controlled or if the client's caloric intake exceeds their energy expenditure.

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Correct Answer is C

Explanation

A. Slow the infusion rate and catch up the rate when the next TPN solution arrives. Slowing the

infusion rate may not provide adequate nutrition to the client, and catching up the rate later could lead to complications such as hyperglycemia or hypoglycemia.
B. Flush the central line with a heparin solution and cap the subclavian access. Flushing the central line with heparin and capping the access would not provide the client with nutrition and could increase the risk of line occlusion.

C. Start 1,000 mL of 0.9% sodium chloride and monitor the serum glucose levels. Starting 0.9% sodium chloride (normal saline) provides hydration and helps maintain electrolyte balance until the next bag of TPN is available. Monitoring serum glucose levels is essential to ensure that the client's glucose levels remain within the target range.
D. Follow the TPN with a 10% dextrose solution at the current rate of infusion. Administering a 10% dextrose solution could lead to hyperglycemia, especially if the client does not require additional glucose. It is important to maintain appropriate glucose levels while awaiting the next bag of TPN.

Correct Answer is ["532"]

Explanation

1 ounce (oz) is approximately equal to 29.5735 milliliters (mL).

Given that the client consumed:

4 ounces of protein shake
1 cup (which is typically 8 fluid ounces) of black coffee
6 ounces of apple juice

Calculation

Protein shake: 4 ounces 29.5735 mL/ounce = 118.294 mL
Black coffee: 8 ounces 29.5735 mL/ounce = 236.588 mL
Apple juice: 6 ounces 29.5735 mL/ounce = 177.441 mL

Summing up the intake:

Total intake = Protein shake + Black coffee + Apple juice Total intake = 118.294 mL + 236.588 mL + 177.441 mL Total intake = 532.323 mL

Rounded off to the nearest whole number = 532mL

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A client who has a body mass index (BMI) of 29 kg/m2 expresses a desire to lose weight. Which action should the nurse implement? Reference Range: Body Mass Index (BMI) Overweight [25.0 to 29.9 kg/m2]

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Naxlex Comprehensive Predictor Exams

A client is receiving total parenteral nutrition (TPN) via a subclavian central line, and the solution bag is nearly empty. The next bag of TPN is not available from the pharmacy. Which action should the nurse implement until the fluid arrives?

Correct Answer is C

Explanation

Correct Answer is ["532"]

Explanation

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A client who has a body mass index (BMI) of 29 kg/m2 expresses a desire to lose weight. Which action should the nurse implement?
Reference Range:
Body Mass Index (BMI) Overweight [25.0 to 29.9 kg/m2]