A client who has a body mass index (BMI) of 30 kg/m² (normal 18.0 to 24.9 kg/m²) is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend?

Keep a record of food and drinks consumed daily.

Participate in a group exercise class 3 times a week.

Engage in strenuous activity for an hour daily.

Plan low carbohydrate and high protein meals.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Keeping a record of food and drinks consumed daily is an effective initial approach to weight loss. This practice helps the client become more aware of their eating habits and identify areas for improvement. Tracking food intake can reveal patterns of overeating, emotional eating, or consumption of high-calorie foods. This awareness is crucial for making informed dietary changes and setting realistic weight loss goals.

Choice B reason:

Participating in a group exercise class 3 times a week is beneficial for weight loss and overall health, but it may not be the best initial step. Exercise is important, but understanding and modifying dietary habits is often more impactful in the early stages of a weight loss plan. Combining dietary changes with regular exercise is ideal, but starting with food tracking can provide a solid foundation.

Choice C reason:

Engaging in strenuous activity for an hour daily can be overwhelming for someone just beginning a weight loss journey. It is important to start with manageable changes to avoid burnout and injury. Gradually increasing physical activity levels is more sustainable and effective in the long term.

Choice D reason:

Planning low carbohydrate and high protein meals can be part of a weight loss strategy, but it should be tailored to the individual’s preferences and needs. Without understanding the client’s current eating habits, it is difficult to recommend specific dietary changes. Starting with food tracking allows for personalized and effective dietary adjustments.

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Correct Answer is C

Explanation

Choice C reason:

Having the client compare the fat content of each snack food is important for managing a low-fat diet. While fruits are generally low in fat, some, like avocados, contain higher levels of healthy fats. Educating the client on the fat content of different foods helps them make informed choices that align with their dietary goals. This approach empowers the client to understand their diet better and make adjustments as needed to manage their heart disease effectively.

Choice A reason:

Eliminating fruits that have a red skin from the diet is not necessary for managing a low-fat diet. The color of the fruit’s skin does not impact its fat content. This recommendation does not address the primary concern of managing fat intake.

Choice B reason:

Telling the client to eliminate in-between meal snacks is not the best approach. Healthy snacks can help maintain energy levels and prevent overeating during main meals. The focus should be on choosing low-fat snacks rather than eliminating them entirely.

Choice D reason:

Instructing the client to eat raw fruit rather than dried fruits can be beneficial as dried fruits often contain added sugars and higher calorie content. However, this recommendation does not directly address the fat content of the snacks. The primary focus should be on educating the client about the fat content of their food choices.

A. Discuss ideas in developing an exercise schedule. B. Review the client’s dietary intake for the past week. C. Instruct the client to eat 3 well-balanced meals daily. D. Provide assistance in planning high-protein, low-carbohydrate meals.

Correct Answer is B

Explanation

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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A client who has a body mass index (BMI) of 30 kg/m² (normal 18.0 to 24.9 kg/m²) is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend?

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Naxlex Comprehensive Predictor Exams

A low-fat diet is prescribed for a client with heart disease. The nurse is reviewing the client’s food journal that includes plums, cherries, avocado, and peaches as between-meal snacks. Which action should the nurse implement?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

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