Which information is most important for the nurse to consider in determining a client's need for an obesity counseling referral?

Reference Range:

Body mass index (BMI) [18.0 kg/m2 to 24.9 kg/m

Body mass index greater than 35 kg/m2.

Daily caloric intake of 3,500 calories.

Client's expressed desire to lose 50 lb (22.7 kg).

Body weight 10% over ideal body weight.

Answer and Explanation

The Correct Answer is A

A. Body mass index greater than 35 kg/m². A BMI of ≥35 kg/m² indicates severe obesity and significantly increases the risk of chronic diseases such as hypertension, diabetes, and cardiovascular disease. Clients with a BMI ≥35, especially with comorbidities, should be referred for obesity counseling, lifestyle modifications, and possibly medical or surgical interventions.
B. Daily caloric intake of 3,500 calories. While consuming 3,500 calories daily may contribute to weight gain, caloric intake alone is not the primary indicator for an obesity counseling referral. BMI provides a more standardized measure of obesity risk.
C. Client's expressed desire to lose 50 lb (22.7 kg). A client’s motivation is important, but referral criteria for obesity counseling are based on clinical indicators like BMI rather than weight loss goals alone.
D. Body weight 10% over ideal body weight. Being 10% over ideal body weight does not necessarily indicate obesity. Obesity is typically defined as a BMI ≥30 kg/m², so this alone would not automatically warrant an obesity counseling referral.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Offer a low sodium formula between breast feedings. Congenital hypothyroidism is not managed with dietary sodium restrictions. The priority is thyroid hormone replacement, not sodium intake adjustments.
B. Stimulate the infant during feedings to ensure adequate intake. Infants with congenital hypothyroidism may have poor feeding due to lethargy, but stimulation during feedings is not the primary intervention. The most critical aspect of care is thyroid hormone replacement to support normal growth and brain development.
C. Administer supplemental thyroid hormone daily. Lifelong thyroid hormone replacement with levothyroxine is essential to prevent intellectual disability and growth delays. Early and consistent treatment ensures normal neurological and physical development. Missing doses or delaying treatment can result in irreversible cognitive impairment.
D. Monitor the infant's daily intake and weekly weight. While monitoring growth and nutrition is important, it is secondary to ensuring proper thyroid hormone therapy, which directly affects metabolism, weight gain, and developmental outcomes.

A. Provide a safety plan to prevent further violence. B. Inspect head for trauma. C. Evaluate range of motion of all joints. D. Perform a neurological exam.

Correct Answer is B,D,C,A

Explanation

Inspect head for trauma. Head injuries can be life-threatening, so the nurse must first assess for signs of skull fractures, concussions, or intracranial bleeding that could explain the headache.
Perform a neurological exam. If head trauma is suspected, a neurological exam is essential to assess for altered mental status, coordination deficits, or signs of increased intracranial pressure.
Evaluate range of motion of all joints. After ruling out life-threatening conditions, the nurse should assess for musculoskeletal injuries, fractures, or soft tissue damage from physical abuse.
Provide a safety plan to prevent further violence. Once the client is medically stable, the nurse should provide resources, assess risk for further harm, and develop a safety plan to prevent future abuse.

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Which information is most important for the nurse to consider in determining a client's need for an obesity counseling referral? Reference Range: Body mass index (BMI) [18.0 kg/m2 to 24.9 kg/m

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is B,D,C,A

Explanation

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Which information is most important for the nurse to consider in determining a client's need for an obesity counseling referral?

Reference Range:

Body mass index (BMI) [18.0 kg/m2 to 24.9 kg/m