A client who has a body mass index (BMI) of 29 kg/m² (normal 18.0 to 24.9 kg/m²) expresses a desire to lose weight. Which action should the nurse implement?

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.

Provide assistance in planning high-protein, low-carbohydrate meals.

Answer and Explanation

The Correct Answer is B

Choice B reason:

Reviewing the client’s dietary intake for the past week is the first step the nurse should take. Understanding the client’s current eating habits provides a baseline for identifying areas that need improvement. This information helps the nurse develop a personalized and effective weight loss plan that addresses the client’s specific dietary patterns and preferences. It also allows the nurse to provide targeted advice and support for making healthier food choices.

Choice A reason:

Discussing ideas in developing an exercise schedule is important for weight loss, but it should come after understanding the client’s dietary habits. Exercise is a key component of a weight loss plan, but dietary changes often have a more immediate impact on weight.

Choice C reason:

Instructing the client to eat 3 well-balanced meals daily is good advice, but it should be based on an understanding of the client’s current dietary habits. Providing general recommendations without assessing the client’s specific needs may not be as effective.

Choice D reason:

Providing assistance in planning high-protein, low-carbohydrate meals can be beneficial for weight loss, but it should be tailored to the client’s dietary preferences and needs. This step should follow a thorough assessment of the client’s current eating habits.

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Correct Answer is B

Explanation

A. “My feet don’t tingle like they used to” is not related to Vitamin A intake. Tingling feet can be associated with other nutritional deficiencies, such as Vitamin B12 or folate, but not Vitamin A.

B. “I can see at night when I wake up now” indicates an improvement in night vision, which is directly related to adequate Vitamin A intake. Vitamin A is essential for the production of rhodopsin, a pigment in the retina that helps with vision in low-light conditions. Improved night vision is a clear sign that the child is receiving sufficient Vitamin A.

C. “My tummy seems so much smaller now” is not an indicator of Vitamin A intake. This statement could be related to changes in overall nutrition or weight, but it does not specifically reflect Vitamin A status.

D. “The bruises on my arms are all gone” is not related to Vitamin A intake. Bruising can be associated with deficiencies in other nutrients, such as Vitamin C or Vitamin K, but not Vitamin A.

A. Limit alcohol intake to two beverages daily. B. Make half of your plate fruits and vegetables. C. Switch to organic milk and dairy products. D. Eliminate products containing gluten in the daily diet.

Correct Answer is B

Explanation

Choice B reason:

Making half of your plate fruits and vegetables is a key dietary recommendation for promoting heart health. Fruits and vegetables are rich in vitamins, minerals, fiber, and antioxidants, which help reduce the risk of cardiovascular disease. This recommendation supports a balanced diet that can lower blood pressure, reduce cholesterol levels, and improve overall heart health.

Choice A reason:

Limiting alcohol intake to two beverages daily is a general guideline for moderate alcohol consumption, but it is not the most impactful dietary change for promoting heart health. Reducing alcohol intake is important, but increasing the intake of fruits and vegetables has more direct benefits for cardiovascular health.

Choice C reason:

Switching to organic milk and dairy products may reduce exposure to pesticides and hormones, but it does not have a significant impact on cardiovascular health compared to other dietary changes. The focus should be on overall dietary patterns rather than specific organic products.

Choice D reason:

Eliminating products containing gluten is necessary for individuals with celiac disease or gluten sensitivity, but it is not specifically related to cardiovascular health. The primary focus for promoting heart health should be on increasing the intake of fruits and vegetables and reducing saturated fats and processed foods.

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A client who has a body mass index (BMI) of 29 kg/m² (normal 18.0 to 24.9 kg/m²) expresses a desire to lose weight. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?

Correct Answer is B

Explanation

When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?

Correct Answer is B

Explanation

A nurse is planning care for several clients. Which client(s) are at an increased risk for malnutrition? Select all that apply.

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