A nurse is caring for a client who has heart failure and has gained 0.9 kg (2 lb) over the last 24 hr. Which of the following interventions should the nurse take?

Provide the client with three large meals per day.

Weigh the client once per week.

Reduce the client's sodium intake.

Restrict the client's protein intake.

Answer and Explanation

The Correct Answer is C

A.   Providing the client with three large meals per day may contribute to fluid retention and exacerbate heart failure symptoms. Smaller, more frequent meals may be better tolerated.
B.   Weighing the client once per week is not appropriate when there are signs of fluid retention and weight gain in a client with heart failure. More frequent monitoring of weight is necessary in this situation.
C.   Reducing the client's sodium intake can help decrease fluid retention and manage symptoms of heart failure. Excess sodium intake can lead to fluid retention and exacerbate heart failure symptoms.
D.   Restricting the client's protein intake is not indicated based solely on weight gain in heart failure. Protein restriction may lead to muscle wasting and compromise overall nutritional status.

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Correct Answer is D

Explanation

Choice A: The recommended daily fiber intake for adults is generally higher than 12 grams. For a balanced diet, women should consume between 22 and 28 grams of fiber per day, and men should consume between 28 and 34 grams per day, depending on their age.

Choice B: Adding 500 calories per day to the diet is typically advised for weight gain, not weight loss. For weight loss, a caloric deficit is usually required, which can be achieved by consuming fewer calories or increasing physical activity.

Choice C: Continuing the current daily caloric intake would not be beneficial if the client's goal is to change their body mass index, especially if their current intake is maintaining a BMI of 28, which is classified as overweight.

Choice D: Referring the client to a weight-loss support group can provide them with emotional support, motivation, and accountability, which are important factors for long-term weight loss success. Support groups can also offer practical advice and a sense of community, which can enhance the weight loss journey.

A. Hypothyroidism B. Juvenile rheumatoid arthritis C. Type 1 diabetes mellitus D. Hypertension

Correct Answer is D

Explanation

A. Hypothyroidism is a condition characterized by an underactive thyroid gland and can contribute to weight gain, but it is not a direct complication of childhood obesity.

B. Juvenile rheumatoid arthritis is a chronic inflammatory disorder that affects the joints and is not directly related to obesity.
C. Type 1 diabetes mellitus is an autoimmune condition in which the pancreas produces little or no insulin, leading to high blood sugar levels. While obesity is a risk factor for type 2 diabetes, it is not a direct complication of childhood obesity.
D. Hypertension, or high blood pressure, is a known complication of obesity in both children and adults. Excess body weight can increase the workload on the heart and blood vessels, leading to elevated blood pressure.

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A nurse is caring for a client who has heart failure and has gained 0.9 kg (2 lb) over the last 24 hr. Which of the following interventions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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