A nurse is updating a plan of care for a client who has a new prescription for a calorie count. Which of the following interventions should the nurse Include?

Record between-meal snacks on the calorie count form.

Begin the calorie count with the client's next evening meal.

Exclude liquids in the total calorie count.

Complete the calorie count for a 5-day period.

Answer and Explanation

The Correct Answer is A

A. Record between-meal snacks on the calorie count form: Between-meal snacks contribute significantly to a client's total daily caloric intake and must be included to obtain an accurate calorie count. Omitting these snacks can result in an incomplete dietary assessment, potentially leading to inaccurate evaluations of the client's nutritional status.
B. Begin the calorie count with the client's next evening meal: Calorie counts should begin as soon as the prescription is initiated, not delayed until a specific mealtime. Waiting to begin with the evening meal may result in missed intake data and reduce the accuracy of the assessment. Timely initiation ensures the healthcare team captures a complete and accurate picture of the client’s intake patterns.
C. Exclude liquids in the total calorie count: Liquids, especially those containing calories such as juice, milk, nutritional supplements, or sweetened beverages, must be included in a calorie count. Excluding these items can underestimate the client’s actual caloric intake and interfere with proper evaluation and planning of their nutritional needs.
D. Complete the calorie count for a 5-day period: A standard calorie count is typically conducted over a 72-hour (3-day) period, which is sufficient to identify trends and provide nutritional insights. Extending the count unnecessarily to 5 days may not yield additional useful data and can burden both clients and staff. The focus should be on consistency and completeness within the accepted timeframe.

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Correct Answer is A

Explanation

A. "I will eat something when I feel hungry." Responding to true physical hunger is a principle of mindful eating, which supports weight loss by preventing overeating due to emotional or external cues. Recognizing and honoring hunger promotes better portion control and sustainable eating habits.
B. "I will peel apples before I eat them." Apple peels contain fiber, which increases satiety and supports digestive health. Removing the peel reduces fiber content, which may make the snack less filling and hinder weight management efforts.
C. "I will eliminate carbohydrates from my diet." Eliminating carbohydrates completely is not recommended for healthy weight loss. Balanced diets that include whole grains, fruits, and vegetables support long-term weight management and provide essential nutrients.
D. "I will use corn oil when frying foods." Frying foods, regardless of the type of oil, increases calorie density and may not support weight loss. Healthier cooking methods like baking, steaming, or grilling are preferred for reducing fat intake and promoting weight control.

Correct Answer is ["236"]

Explanation

Identify the calorie content per gram of each macronutrient.

Protein: 4 calories/gram

Fat: 9 calories/gram

Carbohydrates: 4 calories/gram

Calculate the calories from protein.

Calories from protein = 2 g × 4 calories/gram

= 8 calories.

Calculate the calories from fat.

Calories from fat = 12 g × 9 calories/gram

= 108 calories.

Calculate the calories from carbohydrates.

Calories from carbohydrates = 30 g × 4 calories/gram

= 120 calories.

Calculate the total calories in the cookie.

Total calories = Calories from protein + Calories from fat + Calories from carbohydrates

= 8 calories + 108 calories + 120 calories

= 236 calories.

Rounded to the nearest whole number: 236.

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A nurse is updating a plan of care for a client who has a new prescription for a calorie count. Which of the following interventions should the nurse Include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is counseling a client about principles that promote weight loss. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is providing education to adolescents about healthy food choices. A cookie has 2 g of protein, 12 g of fat, and 30 g of carbohydrates. How many calories does the cookie contain? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["236"]

Explanation

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