A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?
"Meal replacement shakes can cause weight gain."
"Your biggest meal of the day should be breakfast."
"Set your weight loss goal to 2.5 pounds per week."
"Make sure to drink water with your meals."
The Correct Answer is B
Choice A rationale: Meal replacement shakes are typically calorie-controlled and aid in portion regulation; they do not inherently cause weight gain unless consumed excessively or with additional high-calorie foods.
Choice B rationale: Consuming the largest meal at breakfast supports metabolism, improves satiety, and reduces overall daily caloric intake, aligning with circadian rhythms and promoting effective weight management.
Choice C rationale: Safe weight loss recommendations are 1 to 2 pounds per week; setting a goal of 2.5 pounds exceeds guidelines, increasing risk of nutrient deficiencies and metabolic complications.
Choice D rationale: Drinking water with meals aids digestion and satiety but is not a primary behavioral modification for weight loss; hydration is important but not directly linked to meal timing strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A temperature of 37.2°C (99°F) is within the normal range (approximately 36.5°C to 37.5°C or 97.7°F to 99.5°F) and does not specifically indicate fluid volume deficit. It's important to consider this value along with other findings.
Choice B rationale:
(Correct Choice) A pulse rate of 118/min is indicative of tachycardia, which can be a sign of fluid volume deficit. When the body is experiencing a decrease in fluid volume, the heart rate often increases as a compensatory mechanism to maintain adequate circulation. Tachycardia helps to pump a reduced blood volume more rapidly to vital organs.
Choice C rationale:
A blood pressure of 152/90 mm Hg is elevated but does not solely indicate a fluid volume deficit. While low blood pressure can be a sign of dehydration, high blood pressure does not necessarily correlate directly with fluid volume status.
Choice D rationale:
Central venous pressure (CVP) of 25 mm Hg is elevated. CVP reflects the pressure in the vena cava and right atrium, indicating the amount of blood returning to the heart. An elevated CVP might be seen in fluid volume excess or right-sided heart failure, not fluid volume deficit.
Correct Answer is B
Explanation
The correct answer is choice B. “Consume foods that are high in calcium.”
Choice A rationale:
The DASH diet recommends limiting sodium intake to no more than 2,300 milligrams per day, and ideally to 1,500 milligrams per day for greater blood pressure reduction. Therefore, 3,200 milligrams per day is too high.
Choice B rationale:
Consuming foods high in calcium is part of the DASH diet, which emphasizes the intake of fruits, vegetables, and low-fat dairy products to help lower blood pressure.
Choice C rationale:
The DASH diet advises reducing saturated fat intake to less than 6% of total daily calories. Ten percent is higher than recommended.
Choice D rationale:
The DASH diet encourages the consumption of whole grains and discourages refined carbohydrates, which can contribute to higher blood pressure and other health issues.
: WebMD - DASH Diet Foods for High Blood Pressure
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