A nurse is caring for a client who has a family history of cardiovascular disease. The client asks the nurse for information regarding the Therapeutic Lifestyle Changes (TLC) diet for weight management. Which of the following information about nutrition management should the nurse provide to the client?
"Perform vigorous Intensity aerobic exercise for 50 minutes per week."
"Increase your intake of total fiber to 30 grams each day."
You will have your LDL measured every 6 months."
You should have a weight loss goal of 3 pounds per week."
The Correct Answer is B
A. "Perform vigorous intensity aerobic exercise for 50 minutes per week." The TLC diet recommends moderate-intensity physical activity for at least 30 minutes most days of the week, totaling about 150 minutes per week. Vigorous exercise is beneficial but is not the primary focus of the TLC guidelines.
B. "Increase your intake of total fiber to 30 grams each day." This is correct. Increasing fiber intake to 20-30 grams per day is a key component of the TLC diet, as it helps to lower LDL cholesterol and improve overall heart health.
C. "You will have your LDL measured every 6 months." While regular monitoring of LDL levels is important, the TLC guidelines do not specify that LDL should be measured every 6 months. Frequency of monitoring should be individualized based on the client's health status and risk factors.
D. "You should have a weight loss goal of 3 pounds per week." A weight loss goal of 1-2 pounds per week is recommended as safe and sustainable. Aiming for 3 pounds per week may be too aggressive and difficult to maintain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Loperamide: This is correct. Loperamide is an antidiarrheal medication that slows down bowel movements and is commonly prescribed for treating diarrhea.
B. Lansoprazole is a proton pump inhibitor used to treat conditions like GERD and ulcers. It is not indicated for diarrhea.
C. Lactulose is a laxative used to treat constipation and hepatic encephalopathy. It would worsen diarrhea.
D. Levothyroxine is a thyroid hormone replacement medication and is not used to treat diarrhea.
Correct Answer is D
Explanation
A. Assist the client to make autonomous decisions about his treatment options. Assisting the client to make autonomous decisions is important, but it cannot be done effectively until the client is aware of his diagnosis. This action would follow once the client is informed.
B. Reflect on her own opinion about withholding the diagnosis from him. Reflecting on her own opinion can help the nurse understand her biases but does not directly address the family's request or the client's immediate needs.
C. Inform the family that he has a legal right to be informed of his diagnosis. Informing the family about the client's legal right is essential, but first, the nurse should understand the family's perspective and concerns.
D. Determine the family's reasons for not telling him about his diagnosis. This is correct. Understanding the family's reasons provides context and helps the nurse address their concerns appropriately while advocating for the client’s right to know his diagnosis.
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