A client who has a body mass index (BMI) of 29 kg/m² (normal 18.0 to 24.9 kg/m²) expresses a desire to lose weight. Which action should the nurse implement?

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.

Provide assistance in planning high-protein, low-carbohydrate meals.

Answer and Explanation

The Correct Answer is B

Choice B reason:

Reviewing the client’s dietary intake for the past week is the first step the nurse should take. Understanding the client’s current eating habits provides a baseline for identifying areas that need improvement. This information helps the nurse develop a personalized and effective weight loss plan that addresses the client’s specific dietary patterns and preferences. It also allows the nurse to provide targeted advice and support for making healthier food choices.

Choice A reason:

Discussing ideas in developing an exercise schedule is important for weight loss, but it should come after understanding the client’s dietary habits. Exercise is a key component of a weight loss plan, but dietary changes often have a more immediate impact on weight.

Choice C reason:

Instructing the client to eat 3 well-balanced meals daily is good advice, but it should be based on an understanding of the client’s current dietary habits. Providing general recommendations without assessing the client’s specific needs may not be as effective.

Choice D reason:

Providing assistance in planning high-protein, low-carbohydrate meals can be beneficial for weight loss, but it should be tailored to the client’s dietary preferences and needs. This step should follow a thorough assessment of the client’s current eating habits.

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Correct Answer is C

Explanation

Choice C reason:

Consuming a sports drink before and during training can help decrease the frequency of leg cramps by providing electrolytes such as sodium, potassium, and magnesium. These electrolytes are essential for muscle function and preventing cramps. Sports drinks also help maintain hydration, which is crucial for preventing muscle cramps during prolonged physical activity like marathon training.

Choice A reason:

Eating a high carbohydrate meal after running can help replenish glycogen stores but does not directly address the issue of leg cramps. Carbohydrates are important for energy recovery, but electrolytes and hydration are more critical for preventing cramps.

Choice B reason:

Drinking a liter of water during and after running is important for hydration but may not provide the necessary electrolytes to prevent leg cramps. While staying hydrated is crucial, the addition of electrolytes from a sports drink is more effective in preventing cramps.

Choice D reason:

Avoiding alcohol forty-eight hours before training is good advice for overall health and hydration but does not directly address the prevention of leg cramps. Alcohol can contribute to dehydration, but the primary focus should be on maintaining electrolyte balance and hydration during training.

A. Limit alcohol intake to two beverages daily. B. Make half of your plate fruits and vegetables. C. Switch to organic milk and dairy products. D. Eliminate products containing gluten in the daily diet.

Correct Answer is B

Explanation

Choice B reason:

Making half of your plate fruits and vegetables is a key dietary recommendation for promoting heart health. Fruits and vegetables are rich in vitamins, minerals, fiber, and antioxidants, which help reduce the risk of cardiovascular disease. This recommendation supports a balanced diet that can lower blood pressure, reduce cholesterol levels, and improve overall heart health.

Choice A reason:

Limiting alcohol intake to two beverages daily is a general guideline for moderate alcohol consumption, but it is not the most impactful dietary change for promoting heart health. Reducing alcohol intake is important, but increasing the intake of fruits and vegetables has more direct benefits for cardiovascular health.

Choice C reason:

Switching to organic milk and dairy products may reduce exposure to pesticides and hormones, but it does not have a significant impact on cardiovascular health compared to other dietary changes. The focus should be on overall dietary patterns rather than specific organic products.

Choice D reason:

Eliminating products containing gluten is necessary for individuals with celiac disease or gluten sensitivity, but it is not specifically related to cardiovascular health. The primary focus for promoting heart health should be on increasing the intake of fruits and vegetables and reducing saturated fats and processed foods.

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A client who has a body mass index (BMI) of 29 kg/m² (normal 18.0 to 24.9 kg/m²) expresses a desire to lose weight. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is training for a first marathon arrives at the clinic reporting an increase in the frequency of leg cramps. Which recommendation should the nurse provide to help decrease the frequency of leg cramps?

Correct Answer is C

Explanation

When conducting a wellness class for clients with a history of cardiovascular disease, which dietary instruction should the nurse suggest to promote healthy living?

Correct Answer is B

Explanation

A client is discharged from the intensive care unit following a myocardial infarction, and the healthcare provider prescribes a low-sodium diet. Which lunch selection indicates to the nurse that this client understands the dietary restrictions?

Which breakfast selection should the nurse encourage a client to eat who is hospitalized with partial-thickness and full-thickness burns to both legs?

A client who reports frequent indigestion asks the nurse if using an herbal preparation of peppermint might help alleviate the indigestion. Which response should the nurse do first?

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?

A client with celiac disease selects a bowl of oatmeal with fresh fruit and skim milk, grapefruit juice, and coffee from the breakfast menu. Which action is most important for the nurse to implement?

An older adult client with unintentional weight loss and a decline in physical health reports to the nurse of skipping meals to save money for prescribed medications. Which action is best for the home health nurse to implement?

The nurse is planning food selections with a client who has moderate hyponatremia. Which food choice should the nurse recommend to this client?

The nurse is conducting a nutritional class on foods that have been linked to help decrease the development of some forms of cancer. Which meal selection is the best choice to help reduce the risk of some cancers?