A client who has a body mass index (BMI) of 30 kg/m² (normal 18.0 to 24.9 kg/m²) is requesting information on the initial approach to a weight loss plan. Which action should the nurse recommend?

Choice A reason:

Keeping a record of food and drinks consumed daily is an effective initial approach to weight loss. This practice helps the client become more aware of their eating habits and identify areas for improvement. Tracking food intake can reveal patterns of overeating, emotional eating, or consumption of high-calorie foods. This awareness is crucial for making informed dietary changes and setting realistic weight loss goals.

Choice B reason:

Participating in a group exercise class 3 times a week is beneficial for weight loss and overall health, but it may not be the best initial step. Exercise is important, but understanding and modifying dietary habits is often more impactful in the early stages of a weight loss plan. Combining dietary changes with regular exercise is ideal, but starting with food tracking can provide a solid foundation.

Choice C reason:

Engaging in strenuous activity for an hour daily can be overwhelming for someone just beginning a weight loss journey. It is important to start with manageable changes to avoid burnout and injury. Gradually increasing physical activity levels is more sustainable and effective in the long term.

Choice D reason:

Planning low carbohydrate and high protein meals can be part of a weight loss strategy, but it should be tailored to the individual’s preferences and needs. Without understanding the client’s current eating habits, it is difficult to recommend specific dietary changes. Starting with food tracking allows for personalized and effective dietary adjustments.

Choice D reason:

Reviewing the client’s history for a dairy allergy is the most important step before starting whey protein concentrate because whey is derived from milk. If the client has a dairy allergy, consuming whey protein could cause severe allergic reactions, including anaphylaxis. Ensuring the client does not have a dairy allergy is crucial for their safety and to prevent any adverse health effects. This step is essential to determine if whey protein is a suitable and safe option for the client.

Choice A reason:

Checking the client’s cholesterol level is important for overall health management, especially in obese clients. However, it is not the most critical factor when considering the safety of whey protein concentrate. The primary concern should be ensuring the client can safely consume the protein without allergic reactions.

Choice B reason:

Assessing the client’s motivation for change is important for long-term success in weight management and dietary changes. However, it does not directly impact the immediate safety of starting whey protein concentrate. The focus should be on identifying any potential allergies that could cause harm.

Choice C reason:

Reviewing the client’s history of hypertension is important for managing their overall health. However, it is not the most critical factor in determining the safety of whey protein concentrate. The primary concern should be ensuring the client does not have a dairy allergy, which could lead to severe allergic reactions.