A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?
Recommend a total fiber intake of 12 g each day.
Advise the client to add 500 calories per day to the diet.
Encourage the client to continue current daily caloric intake.
Refer the client to a weight-loss support group.
The Correct Answer is D
Choice A: The recommended daily fiber intake for adults is generally higher than 12 grams. For a balanced diet, women should consume between 22 and 28 grams of fiber per day, and men should consume between 28 and 34 grams per day, depending on their age.
Choice B: Adding 500 calories per day to the diet is typically advised for weight gain, not weight loss. For weight loss, a caloric deficit is usually required, which can be achieved by consuming fewer calories or increasing physical activity.
Choice C: Continuing the current daily caloric intake would not be beneficial if the client's goal is to change their body mass index, especially if their current intake is maintaining a BMI of 28, which is classified as overweight.
Choice D: Referring the client to a weight-loss support group can provide them with emotional support, motivation, and accountability, which are important factors for long-term weight loss success. Support groups can also offer practical advice and a sense of community, which can enhance the weight loss journey.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
- Uneaten meals suggest that the client is not consuming the food provided, which can lead to inadequate intake of nutrients and calories, thus indicating possible malnutrition.
- A wound that won't heal can be a sign of malnutrition, as proper nutrition is essential for wound healing and maintenance of skin integrity.
- Rough and dry skin can be indicative of malnutrition, particularly if there is a deficiency in essential fatty acids and other nutrients that maintain skin health.
- Edema to the face and lower extremities can be a sign of protein-energy malnutrition, where the body does not get enough protein to maintain plasma oncotic pressure, leading to fluid accumulation in tissues.
Correct Answer is D
Explanation
A. Lactulose is a laxative that works by reducing the absorption of ammonia in the colon, leading to increased bowel movements. Therefore, there should be an increase rather than a decrease in the number of bowel movements with this medication.
B. Lactulose is typically administered orally or rectally, not intravenously.
C. Lactulose does not treat infection; it helps reduce ammonia levels in hepatic encephalopathy by promoting bowel movements to expel ammonia.
D. Monitoring the serum ammonia level is essential in assessing the effectiveness of lactulose therapy. Reduction in serum ammonia levels indicates that the medication is working to reduce ammonia absorption in the colon.
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