The nurse is planning a weight reduction teaching program to be implemented at a community health center. Which goal is best for clients who are approximately fifteen percent over their ideal weight and wish to participate in the weight loss program?

Caloric intake between 800 and 1,000 kcal per day.

Fat intake between 20 to 30 percent of total daily intake.

A three to five lb (2.3 kg) weight loss per week.

Maintain a cholesterol level between 225 mg/dL (5.8 mmol/L) and 240 mg/dL (6.2 mmol/L).

Answer and Explanation

The Correct Answer is C

A. Caloric intake between 800 and 1,000 kcal per day. This caloric intake range is very low and may not provide sufficient nutrients for health and well-being. It is not appropriate for most
individuals and could lead to nutritional deficiencies and other health problems.

B. Fat intake between 20 to 30 percent of total daily intake. While monitoring fat intake can be part of a weight loss program, focusing solely on fat intake without considering overall caloric intake and other dietary factors may not be effective for weight loss.
C. A three to five lb (2.3 kg) weight loss per week. This goal is reasonable and achievable for

individuals who are approximately fifteen percent over their ideal weight. It represents a gradual and sustainable rate of weight loss that can lead to long-term success.
D. Maintain a cholesterol level between 225 mg/dL (5.8 mmol/L) and 240 mg/dL (6.2 mmol/L).

While managing cholesterol levels is important for cardiovascular health, it is not directly related to weight reduction goals. This option is not appropriate for a weight loss teaching program.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Suggesting that the client also avoid fruit skins may not directly address the concern about nuts and seeds, potentially causing confusion.
B. Confirming that these foods should be avoided validates the client's understanding and reinforces the importance of dietary modifications to prevent inflammation associated with hemorrhoids.
C. Encouraging soft foods such as yogurt is beneficial for easing bowel movements, but it does not specifically address the need to avoid nuts and seeds.
D. Explaining the benefits of a high fiber diet is important for overall bowel health, but it does not directly address the client's concern about avoiding specific foods that may aggravate
hemorrhoids.

A. Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity. B. Tell the PN that this assessment technique should be performed by the nurse. C. Review the measurement obtained by the PN and compare with ideal measurements for this client. D. Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes.

Correct Answer is C

Explanation

A. Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity. This statement is incorrect. Waist circumference is a valuable measure for assessing abdominal obesity and related health risks.

B. Tell the PN that this assessment technique should be performed by the nurse. Measuring waist circumference is within the scope of practice for a practical nurse and does not need to be performed by a registered nurse.
C. Review the measurement obtained by the PN and compare with ideal measurements for this client. This action ensures that the measurement is accurate and provides an opportunity to educate the client about the significance of waist circumference in relation to obesity and associated health risks.
D. Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes. Waist circumference does not change significantly over such a short period and does not need to be measured this frequently.

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The nurse is planning a weight reduction teaching program to be implemented at a community health center. Which goal is best for clients who are approximately fifteen percent over their ideal weight and wish to participate in the weight loss program?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with hemorrhoids tells the nurse they understand the need to avoid eating nuts and seeds to prevent inflammation. How should the nurse respond?

Correct Answer is B

Explanation

The charge nurse observes a practical nurse (PN) measuring the waist circumference of a client who has expressed a concern about health problems related to obesity. Which action should the nurse implement?

Correct Answer is C

Explanation

A client is receiving a continuous gastric tube feeding at 80 mL/hour. The nurse records the client's gastric residual volume as 325 mL during each of two consecutive hourly measurements. Which assessment should the nurse complete before contacting the healthcare provider?

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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?

The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?

An adult female client arrives at the clinic for an annual physical exam expressing an interest in becoming pregnant and requests information about preventing neural tube defects during pregnancy. Which food should the nurse encourage the client to include in her diet?

The nurse is caring for an older adult client who needs to limit sodium intake. Which food should the nurse encourage the client to avoid?

A medication that causes extreme photosensitivity was recently prescribed for a client. In providing discharge instructions, the nurse should teach this client to increase intake of which foods?

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