In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

Advise the client to include aerobic exercise along with dietary changes.

Emphasize the need to reduce caloric intake, rather than increasing it.

Instruct the client to also increase the daily intake of dietary fiber.

Encourage the client to continue these changes in a dietary plan.

None

Answer and Explanation

The Correct Answer is D

Rationale for A: Advising the client to include aerobic exercise could be beneficial as it may help in weight management and overall health. However, it does not directly address the dietary concerns associated with hyperthyroidism.
Rationale for B: Reducing caloric intake is generally not recommended for hyperthyroidism as the condition often leads to weight loss and increased metabolism; therefore, patients may require more calories to maintain a healthy weight.
Rationale for C: Increasing dietary fiber is beneficial for general health and can aid digestion, but it is not the primary dietary change needed for managing hyperthyroidism.
Rationale for D: Encouraging the client to continue increasing protein and caloric intake is appropriate, as hyperthyroidism can cause weight loss and muscle wasting. Adequate protein and caloric intake can help mitigate these effects.

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Correct Answer is D

Explanation

A. Follow low carbohydrate diet with low glycemic index foods. This recommendation is more appropriate for managing diabetes rather than glomerulonephritis. Carbohydrate and glycemic index considerations are not the primary dietary concerns for glomerulonephritis patients.
B. Eat a high protein diet three times a day. In glomerulonephritis, kidney function is impaired, and a high protein diet can exacerbate the condition by increasing the workload on the kidneys. Protein intake should often be moderated, not increased.
C. Avoid foods high in potassium. While potassium management may be relevant in certain cases of kidney disease, it is not the primary dietary focus for glomerulonephritis unless hyperkalemia is a specific issue.
D. Restrict sodium rich foods and excessive oral fluids. Reducing sodium intake helps prevent fluid retention and hypertension, both of which can be problematic in glomerulonephritis. Controlling fluid intake also helps manage symptoms and prevent complications associated with impaired kidney function.

A. Fruits and vegetables. B. Complete proteins. C. Calcium-rich dairy products. D. High potassium foods.

Correct Answer is A

Explanation

A. Fruits and vegetables. Snacking on fruits and vegetables provides fiber, vitamins, and

minerals while being lower in calories, making them suitable choices for an adolescent with a high BMI who may be looking to manage their weight.
B. Complete proteins. While complete proteins are important for overall nutrition, they may not be the best choice for after-school snacks, especially if the client is trying to manage their
weight, as they can be higher in calories.

C. Calcium-rich dairy products. While dairy products are important for calcium intake, they can also be higher in calories and fat. Depending on the client's overall dietary intake, they may not be the best choice for snacks if weight management is a concern.
D. High potassium foods. While potassium-rich foods are important for overall health, they may not be the best choice for after-school snacks specifically. Focusing on lower-calorie, nutrient- dense options like fruits and vegetables is more appropriate for an adolescent with a high BMI who may be trying to manage their weight.

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In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with glomerulonephritis is preparing for discharge and asks the nurse which kind of diet to follow upon returning home. Which dietary teaching should the nurse include in the discharge instructions?

Correct Answer is D

Explanation

The nurse is preparing a teaching plan for an adolescent whose body mass index (BMI) is 35. Which foods are best for the client to select for after school snacks?

Correct Answer is A

Explanation

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The nurse is helping develop a meal plan based on nutritional guidelines for an older adult client being discharged to home with the client's spouse. Which statement by the client and spouse best indicates an understanding of the nutritional guidelines when planning meals?

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