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 C

Explanation

Choice C reason:

Avocado is a low-carbohydrate food that is high in healthy fats, making it an excellent choice for someone with type 2 diabetes. It does not contain refined sugars or high levels of carbohydrates, which can cause blood sugar spikes. Avocados also provide fiber, which helps in managing blood glucose levels. This choice indicates that the client understands the importance of selecting foods that do not adversely affect their blood sugar levels.

Choice A reason:

Grapes contain natural sugars and can raise blood glucose levels, making them less ideal for someone with type 2 diabetes who needs to manage their carbohydrate intake carefully. While they can be consumed in moderation, they are not the best choice for avoiding refined sugars and carbohydrates.

Choice B reason:

Potatoes are high in carbohydrates and can cause significant increases in blood glucose levels. They are not recommended for someone with type 2 diabetes who is trying to avoid refined sugars and high-carbohydrate foods. Choosing potatoes would indicate a misunderstanding of the dietary guidelines provided.

Choice D reason:

Pretzels are typically made from refined flour and contain high levels of carbohydrates, which can lead to blood sugar spikes. They are not suitable for someone with type 2 diabetes who needs to avoid refined sugars and carbohydrates. Selecting pretzels would suggest that the client does not fully understand the dietary recommendations.

A. Yogurt. B. Cashews. C. Asparagus. D. Chicken.

Correct Answer is C

Explanation

A. Yogurt is a good source of calcium and protein, but it is not particularly high in folic acid, which is essential for preventing neural tube defects. While yogurt is a healthy food choice, it does not specifically address the need for folic acid.

B. Cashews provide healthy fats and protein, but they are not a significant source of folic acid. Including nuts in the diet is beneficial for overall health, but they do not specifically help in preventing neural tube defects.

C. Asparagus is an excellent source of folic acid, which is crucial for preventing neural tube defects during pregnancy. Folic acid helps in the proper development of the neural tube, reducing the risk of defects such as spina bifida and anencephaly.

D. Chicken is a good source of protein and other nutrients, but it is not particularly high in folic acid. While it is a healthy food choice, it does not specifically address the need for folic acid to prevent neural tube defects.

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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

The nurse instructs a client with type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?

Correct Answer is C

Explanation

An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?

Correct Answer is C

Explanation

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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?

A client expresses an interest in reducing intake of saturated fats and plans to stop eating hamburgers at lunch. Which menu item should the nurse suggest as an alternative source of protein?

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A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon return. Which dietary teaching should the nurse include in the discharge instructions?

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