A nurse is caring for a client who is obese and is prescribed a calorie reduction of 500 fewer calories per day. The nurse should expect the client to have which of the following rates of weight loss?
0.45 kg (1 lb)/day.
0.45 kg (1 lb)/week.
0.23 kg (0.5 lb)/week.
0.23 kg (0.5 lb)/day.
The Correct Answer is B
Choice A rationale:
A rate of 0.45 kg (1 lb)/day is an extremely rapid weight loss rate that is not realistic or safe for most individuals. Such a rapid weight loss could lead to muscle loss, nutrient deficiencies, and other health complications.
Choice B rationale:
This choice is the correct answer. A weight loss rate of 0.45 kg (1 lb)/week is generally considered a safe and sustainable rate. This gradual weight loss allows the body to adjust and minimize the risk of adverse effects commonly associated with rapid weight loss.
Choice C rationale:
A weight loss rate of 0.23 kg (0.5 lb)/week is even slower than the recommended rate in choice B. While it might be very cautious, it might not provide the client with the desired progress in a reasonable timeframe.
Choice D rationale:
A rate of 0.23 kg (0.5 lb)/day is another unrealistic and rapid weight loss rate. It's not a sustainable approach and could lead to various health issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Boiled eggs are appropriate for a client with cholecystitis. Cholecystitis involves inflammation of the gallbladder, and fatty foods can exacerbate symptoms. Boiled eggs are a lean protein source that doesn't contain added fats, making them suitable for the client's dietary restrictions.
Choice B rationale:
Banana muffin is not an optimal choice for a client with cholecystitis. Muffins, especially those made with added fats and sugar, can be high in calories and fats that may worsen symptoms of cholecystitis.
Choice C rationale:
Ground beef is not recommended for a client with cholecystitis due to its higher fat content. Fried or fatty foods can trigger discomfort and worsen the condition. The client should focus on lower-fat protein sources.
Choice D rationale:
Brown rice is a better choice than some other grains, but it might still be too heavy for a client with cholecystitis. It's preferable to prioritize easily digestible and lower-fat foods to alleviate symptoms.
Correct Answer is A
Explanation
Choice A rationale:
The client's statement, "I can choose an avocado dip instead of salsa," indicates an understanding of the teaching about a low-saturated fat diet. Avocado is a source of healthy monounsaturated fats, which are preferred over saturated fats. This choice aligns with the goal of reducing saturated fat intake, which is important for cardiovascular health. Avocado dip is a better choice than salsa in this context due to its healthier fat content.
Choice B rationale:
The statement "I can eat the skin on poultry if it is broiled" is not indicative of an understanding of a low-saturated fat diet. Poultry skin is high in saturated fat, and even though broiling is a healthier cooking method compared to frying, the saturated fat content in the skin remains a concern.
Choice C rationale:
The statement "I will use margarine on my waffles" is not aligned with the teaching of a low-saturated fat diet. Most margarines contain trans fats or unhealthy saturated fats, which can be detrimental to cardiovascular health. Using margarine on waffles would likely contribute to the intake of unhealthy fats.
Choice D rationale:
The statement "I will include 7 ounces of fish in my diet weekly" does not reflect an understanding of a low-saturated fat diet. While fish is generally a healthy protein source, this statement doesn't specifically address saturated fat reduction. The type of fish and its preparation method can influence the saturated fat content, so simply including a certain amount of fish does not guarantee adherence to a low-saturated fat diet.
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