A client who has a body mass index (BMI) of 29 kg/m2 expresses a desire to lose weight. Which action should the nurse implement?
Reference Range:
Body Mass Index (BMI) Overweight [25.0 to 29.9 kg/m2]

Provide assistance in planning high protein, low carbohydrate meals.

Discuss ideas in developing an exercise schedule.

Review the client's dietary intake for the past week.

Instruct the client to eat 3 well-balanced meals daily.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is D

Explanation

A. "The bruises on my arms are all gone." This statement is more indicative of adequate Vitamin C intake, as Vitamin C is essential for collagen synthesis and wound healing, which can affect bruising.
B. "My feet don't tingle like they used to." Tingling in the extremities is often associated with deficiencies in B vitamins, particularly B12, rather than Vitamin A.
C. "My tummy seems so much smaller now." This statement does not directly relate to Vitamin A status. It could refer to a variety of other health improvements or conditions.
D. "I can see at night when I wake up now." Night vision improvement is a classic sign of adequate Vitamin A intake, as Vitamin A is crucial for the maintenance of normal vision, particularly in low-light conditions.

A. The urine meter attached to the urinary drainage bag is completely full. B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. C. There is a large dependent loop in the client's urinary drainage tubing. D. Purulent drainage is present around the insertion site of the feeding tube.

Correct Answer is C

Explanation

A. The urine meter attached to the urinary drainage bag is completely full. While this observation requires attention, it does not pose an immediate risk to the client's safety. The nurse should
empty the urine meter promptly to prevent overflow.

B. A feeding is infusing at 40 mL/hour through an enteral feeding tube. This rate of infusion is within the typical range for enteral feedings and does not indicate an immediate safety concern. However, the nurse should assess the client's tolerance to the feeding.
C. There is a large dependent loop in the client's urinary drainage tubing. A large dependent loop in the urinary drainage tubing can lead to urinary stasis and increase the risk of urinary tract
infections or catheter-associated complications. It requires immediate intervention to prevent complications.
D. Purulent drainage is present around the insertion site of the feeding tube. While purulent drainage indicates a potential infection at the insertion site, it may not require immediate
intervention unless the client exhibits signs of systemic infection such as fever or increased white blood cell count.

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A client who has a body mass index (BMI) of 29 kg/m2 expresses a desire to lose weight. Which action should the nurse implement? Reference Range: Body Mass Index (BMI) Overweight [25.0 to 29.9 kg/m2]

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A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A client who has a body mass index (BMI) of 29 kg/m2 expresses a desire to lose weight. Which action should the nurse implement?
Reference Range:
Body Mass Index (BMI) Overweight [25.0 to 29.9 kg/m2]