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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Providing the client with three large meals per day may contribute to fluid retention and exacerbate heart failure symptoms. Smaller, more frequent meals may be better tolerated.
B. Weighing the client once per week is not appropriate when there are signs of fluid retention and weight gain in a client with heart failure. More frequent monitoring of weight is necessary in this situation.
C. Reducing the client's sodium intake can help decrease fluid retention and manage symptoms of heart failure. Excess sodium intake can lead to fluid retention and exacerbate heart failure symptoms.
D. Restricting the client's protein intake is not indicated based solely on weight gain in heart failure. Protein restriction may lead to muscle wasting and compromise overall nutritional status.

A. Hoarse voice B. Expressive aphasia C. Continuous smiling D. Weight gain

Correct Answer is A

Explanation

A. A hoarse voice can indicate difficulty swallowing or dysphagia, as aspiration of food or liquid into the airway can cause irritation and inflammation of the vocal cords.
B. Expressive aphasia is a language disorder characterized by difficulty expressing language verbally or in writing and is not directly related to dysphagia.
C. Continuous smiling is not typically associated with dysphagia and may indicate a different neurological or psychological issue.
D. Weight gain is not a direct manifestation of dysphagia but may occur due to other factors such as decreased mobility or changes in dietary habits.

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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?

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