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
None
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Nausea. While nausea can affect appetite and food intake, it is not specifically linked to periodontitis. It is more commonly associated with gastrointestinal issues or other systemic conditions.
B. Altered taste sensation. Altered taste can impact food intake, but it is not a primary issue in periodontitis. Periodontitis primarily affects the gums and supporting structures of the teeth.
C. Fatigue. Fatigue can reduce overall energy levels and appetite, but it is not directly related to the localized effects of periodontitis.
D. Pain when eating. Periodontitis causes inflammation and pain in the gums, which can make eating difficult and uncomfortable. This pain is the most direct and relevant reason for
inadequate nutritional intake in a client with periodontitis.
Correct Answer is B
Explanation
A. Provide assistance in planning high protein, low carbohydrate meals. While dietary changes may be helpful for weight loss, focusing solely on macronutrient ratios like high protein and low carbohydrate may not be the most effective approach. Moreover, without addressing physical activity, the client may not achieve their weight loss goals.
B. Discuss ideas in developing an exercise schedule. Exercise is a crucial component of weight loss and weight management. By discussing and developing an exercise schedule tailored to the client's preferences and abilities, the nurse can help the client achieve their weight loss goals.
C. Review the client's dietary intake for the past week. Reviewing dietary intake can provide valuable information about the client's current eating habits and areas for improvement. However, without addressing physical activity, it may not be sufficient to help the client achieve weight loss.
D. Instruct the client to eat 3 well-balanced meals daily. While eating balanced meals is
important for overall health, simply instructing the client to eat three meals daily may not be sufficient for weight loss, especially if the meals are not portion-controlled or if the client's caloric intake exceeds their energy expenditure.
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