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?

Choice A reason:

Fatigue in a professional dancer can be a sign of inadequate nutrition, overtraining, or underlying health issues. Dancers require a high level of energy and proper nutrition to maintain their performance and health. Persistent fatigue could indicate that the client is not consuming enough calories or nutrients to meet their energy demands, or it could be a symptom of overtraining or other medical conditions. Further assessment is necessary to identify the cause of the fatigue and to develop an appropriate intervention plan to ensure the client’s health and performance are not compromised.

Choice B reason:

Sweaty palms can be a sign of anxiety or hyperhidrosis, but it is not as critical as fatigue in the context of a professional dancer’s nutritional assessment. While it may warrant further investigation, it does not directly indicate a nutritional deficiency or overtraining.

Choice C reason:

Bunions are a common issue for dancers due to the physical demands placed on their feet. However, they are more related to the physical impact of dancing rather than nutritional status. Addressing bunions is important for the dancer’s comfort and performance, but it does not require immediate nutritional assessment.

Choice D reason:

Dry skin can be a sign of dehydration or nutritional deficiencies, but it is not as urgent as fatigue. While it is important to address, it does not pose an immediate threat to the dancer’s performance and overall health. The primary focus should be on assessing and addressing the cause of fatigue.

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.