A nurse is caring for a client who weighs 75 kg. The client has a prescription from a dietitian to decrease calorie intake by 500 cal/day to produce weight loss of 1 lb per week. What is the expected goal weight for the client in pounds at the end of the 25 weeks? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

______ lbs

Rationale:

A. Food exchange lists for meal planning from the American Diabetes Association: The ADA provides evidence-based, reliable resources for meal planning that help clients manage blood glucose levels and make informed dietary choices. These lists are tailored for diabetes management.

B. Food label recommendations from the Institute of Medicine: While the IOM provides general nutrition guidelines, they are not specifically designed for diabetes management and may not address individualized meal planning needs for blood glucose control.

C. Diabetes medication information from the Physicians' Desk Reference: The PDR contains medication details but is intended for healthcare professionals, not clients. It may be too technical for patient education purposes.

D. Personal blogs about managing the adverse effects of diabetes medications: Blogs may provide anecdotal information that is not evidence-based and could be inaccurate or misleading, making them an unreliable resource for client education.

A. The client is allergic to penicillin: Medication allergies are critical for the nurse and prescriber to know, but they are not directly relevant to occupational therapy planning.

B. The client's parent is in a skilled nursing facility: While this may influence social support, it is not directly relevant to the client’s rehabilitation needs or adaptive strategies for activities of daily living.

C.Having two small children at home significantly impacts the client's functional needs and IADLs. Caring for infants or toddlers requires bilateral hand coordination for tasks like holding a child safely, fastening car seats, lifting, changing diapers, and preparing bottles. The occupational therapist needs this critical information to tailor the rehabilitation plan, introduce specific adaptive equipment, and practice child-care tasks using one hand or a temporary prosthesis before discharge.

D. The client lives in a two-story home: The home environment, including stairs, affects mobility, accessibility, and safety after amputation. Reporting this information is essential for planning adaptive equipment, home modifications, and safe discharge.