A nurse is providing dietary teaching to a client who has a body mass index of 28. Which of the following actions should the nurse take?
Recommend a total fiber intake of 12 g each day.
Advise the client to add 500 calories per day to the diet.
Encourage the client to continue current daily caloric intake.
Refer the client to a weight-loss support group.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Vitamin C deficiency, also known as scurvy, can lead to impaired collagen synthesis, which is essential for maintaining the integrity of connective tissues, including the skin. Without an adequate supply of vitamin C, the skin becomes fragile and prone to breakdown, leading to the development of ulcers and wounds.
B. Hypertension is not directly associated with vitamin C deficiency. However, vitamin C deficiency may indirectly contribute to hypertension due to its role in maintaining blood vessel health and endothelial function.
C. Tachycardia is not directly associated with vitamin C deficiency. However, severe vitamin C deficiency (scurvy) can lead to fatigue and weakness, which may result in an increased heart rate as the body tries to compensate for reduced oxygen delivery to tissues.
D. Kidney stones are not typically associated with vitamin C deficiency. However, excessive intake of vitamin C supplements may increase the risk of kidney stone formation in susceptible individuals due to the conversion of vitamin C into oxalate, which can contribute to stone formation.
Correct Answer is A
Explanation
A. Limiting protein intake is important for individuals with chronic kidney disease to reduce the workload on the kidneys and minimize the accumulation of waste products in the blood. High protein intake can accelerate the progression of kidney damage.
B. Increasing phosphorus intake is not recommended for individuals with chronic kidney disease, as impaired kidney function can lead to elevated phosphorus levels in the blood, which can contribute to complications such as bone disease and cardiovascular issues.
C. Increasing potassium intake is typically not advised for individuals with chronic kidney disease, especially if they have elevated potassium levels (hyperkalemia), as this can further stress the kidneys and increase the risk of cardiac arrhythmias.
D. Limiting calcium intake may be necessary for individuals with certain types of kidney stones, but it is not a general recommendation for all individuals with chronic kidney disease. In fact, calcium is important for bone health, and individuals with chronic kidney disease are at
increased risk of bone mineral disorders.
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