A client who is overweight tells the nurse of plans to monitor the glycemic index of foods the client eats to ensure an adequate intake of vitamins and nutrients while trying to lose weight. Which action should the nurse implement?

Encourage the client to talk about reasons for desiring to lose weight.

Ask if using the glycemic index has helped the client stay on track with weight loss goals.

Advise the client to seek medical supervision before using the glycemic index.

Discuss the benefits and limitations of using the glycemic index.

Answer and Explanation

The Correct Answer is D

Choice D reason:

Discussing the benefits and limitations of using the glycemic index is important because it provides the client with a comprehensive understanding of how this tool can aid in weight loss and overall health. The glycemic index measures how quickly foods raise blood sugar levels, which can help in selecting foods that promote stable blood sugar and sustained energy. However, it is also important to understand that the glycemic index does not account for portion sizes or the nutritional content of foods, so it should be used as part of a broader dietary strategy.

Choice A reason:

Encouraging the client to talk about reasons for desiring to lose weight is supportive and can help in understanding the client’s motivations. However, it does not directly address the client’s plan to use the glycemic index for weight loss. The focus should be on providing specific guidance related to the glycemic index.

Choice B reason:

Asking if using the glycemic index has helped the client stay on track with weight loss goals is a good follow-up question but does not provide the necessary information or guidance about the glycemic index itself. The nurse should first ensure the client understands how to use the glycemic index effectively.

Choice C reason:

Advising the client to seek medical supervision before using the glycemic index is generally good advice, especially for individuals with specific health conditions. However, it is more practical to provide immediate information about the glycemic index and its use, while also recommending medical supervision if needed.

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Correct Answer is D

Explanation

Choice D reason:

Chicken salad on toast, fruit-flavored yogurt, and iced tea are lower in sodium compared to the other options. This meal choice helps manage the client’s elevated sodium levels by avoiding foods high in sodium content. Chicken salad and fruit-flavored yogurt provide balanced nutrition without contributing to excessive sodium intake, making it a suitable choice for someone needing to reduce their sodium levels.

Choice A reason:

Taco salad, refried beans, low-fat ice cream, and coffee can be high in sodium, particularly the taco salad and refried beans. These foods can exacerbate the client’s hypernatremia (high sodium levels), making them less suitable for someone needing to lower their sodium intake.

Choice B reason:

Bacon, lettuce, and tomato sandwich, grapes, and skim milk include bacon, which is high in sodium. This meal choice is not ideal for someone with elevated sodium levels, as it can contribute to further increasing their sodium intake.

Choice C reason:

Canned cream of mushroom soup and tuna salad are typically high in sodium due to the canning process and added preservatives. This meal choice would not help in managing the client’s high sodium levels and is therefore not recommended.

A. Refer the client to the dietician for information on other herbal supplements. B. Ask the client about medical problems that could possibly cause indigestion. C. Validate the client’s consideration of mint products for minimizing indigestion. D. Review the client’s dietary intake that may precipitate the indigestion episodes.

Correct Answer is ["B"]

Explanation

Choice B reason:

Asking the client about medical problems that could possibly cause indigestion is the first step the nurse should take. Indigestion can be a symptom of various underlying medical conditions, such as gastroesophageal reflux disease (GERD), peptic ulcers, or even cardiac issues. Understanding the client’s medical history helps identify any serious conditions that need to be addressed before considering herbal remedies. This approach ensures that the nurse provides safe and appropriate care based on the client’s overall health status.

Choice A reason:

Referring the client to the dietician for information on other herbal supplements can be helpful, but it should not be the first step. It is important to first understand the client’s medical history and current health status to ensure that any recommendations are safe and appropriate.

Choice C reason:

Validating the client’s consideration of mint products for minimizing indigestion is supportive, but it should come after assessing the client’s medical history. While peppermint can help with indigestion, it may not be suitable for all clients, especially those with certain medical conditions.

Choice D reason:

Reviewing the client’s dietary intake that may precipitate the indigestion episodes is important, but it should follow the assessment of the client’s medical history. Identifying dietary triggers is useful, but understanding the overall health context is crucial for providing comprehensive care.

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A client who is overweight tells the nurse of plans to monitor the glycemic index of foods the client eats to ensure an adequate intake of vitamins and nutrients while trying to lose weight. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

Correct Answer is D

Explanation

A client who reports frequent indigestion asks the nurse if using an herbal preparation of peppermint might help alleviate the indigestion. Which response should the nurse do first?

Correct Answer is ["B"]

Explanation

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