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:

Oatmeal with raisins and nuts, with skim milk and 1/2 grapefruit, is the best choice for reducing the risk of some cancers. Oatmeal is high in fiber, which has been linked to a lower risk of colorectal cancer. Raisins and nuts provide antioxidants and healthy fats, which can help protect cells from damage. Skim milk offers calcium, which is beneficial for bone health, and grapefruit is rich in vitamin C and other antioxidants that support the immune system and may help prevent cancer.

Choice A reason:

Pancakes with blueberries and maple syrup, and a turkey sausage patty, while containing some beneficial elements like blueberries, which are high in antioxidants, also include processed meats like turkey sausage. Processed meats have been linked to an increased risk of certain cancers, such as colorectal cancer. The high sugar content in maple syrup can also contribute to inflammation, which is not ideal for cancer prevention.

Choice B reason:

Scrambled eggs with roasted peppers and onions, lean ham, and toast provide a balanced meal with protein and vegetables. However, lean ham is a processed meat, which has been associated with an increased risk of cancer. While the vegetables offer beneficial nutrients, the presence of processed meat makes this option less ideal compared to the oatmeal choice.

Choice D reason:

Poached egg, bacon, biscuit, and canned peaches in light syrup include processed meats like bacon, which are linked to a higher risk of cancer. The biscuit is likely made from refined flour, which lacks the beneficial fiber found in whole grains. Canned peaches in light syrup contain added sugars, which can contribute to inflammation and are not recommended for cancer prevention.

A. A tuna sandwich, French fries, and a glass of milk. B. A cheese sandwich, an apple, and a soda. C. An egg salad sandwich, soda, and chocolate cake. D. A hot dog, potato chips, and a glass of milk.

Correct Answer is A

Explanation

Choice A reason:

A tuna sandwich, French fries, and a glass of milk provide a high-protein meal that is beneficial for an adolescent client who is anemic. Tuna is a rich source of protein and iron, both of which are important for addressing anemia. Milk adds additional protein and calcium, supporting overall health. While French fries are not the healthiest option, the protein content of the meal is the primary focus.

Choice B reason:

A cheese sandwich, an apple, and a soda provide some protein from the cheese, but the overall protein content is lower compared to the tuna sandwich. Additionally, soda is high in sugar and does not contribute to the nutritional needs of an anemic client.

Choice C reason:

An egg salad sandwich, soda, and chocolate cake provide protein from the eggs, but the meal includes high-sugar items like soda and chocolate cake. These items do not support the nutritional needs of an anemic client and can contribute to unhealthy eating habits.

Choice D reason:

A hot dog, potato chips, and a glass of milk provide some protein from the hot dog and milk, but hot dogs are high in saturated fats and sodium. Potato chips are also high in unhealthy fats and do not contribute to the nutritional needs of an anemic client. The overall meal is less balanced compared to the tuna sandwich option.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A high-protein diet is prescribed for an adolescent client who is anemic. Which lunch is best for this client?

Correct Answer is A

Explanation

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