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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Determine pH value of specimen. While pH testing can help confirm gastric placement of the NGT, the appearance of cloudy green fluid suggests a different issue that should be addressed first.
B. Send fluid specimen to the laboratory. Cloudy green fluid aspirated from the NGT suggests possible infection or contamination and should be sent to the laboratory for analysis to determine the presence of pathogens or other abnormalities.
C. Withdraw the NGT and reinsert. This may be necessary if placement is incorrect, but the cloudy green fluid suggests a potential issue beyond placement.
D. Connect the NGT to wall suction. Suctioning should not be initiated until the nature of the aspirated fluid is determined. If the fluid is infected, suctioning it could spread pathogens or cause further complications.
Correct Answer is D
Explanation
A. "The bruises on my arms are all gone." This statement is more indicative of adequate Vitamin C intake, as Vitamin C is essential for collagen synthesis and wound healing, which can affect bruising.
B. "My feet don't tingle like they used to." Tingling in the extremities is often associated with deficiencies in B vitamins, particularly B12, rather than Vitamin A.
C. "My tummy seems so much smaller now." This statement does not directly relate to Vitamin A status. It could refer to a variety of other health improvements or conditions.
D. "I can see at night when I wake up now." Night vision improvement is a classic sign of adequate Vitamin A intake, as Vitamin A is crucial for the maintenance of normal vision, particularly in low-light conditions.
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