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 B
Explanation
A. Diluting formula with water can decrease the calorie and nutrient content of the formula and is not typically recommended for infants with gastroesophageal reflux.
B. Positioning the newborn at a 20-degree angle after feeding can help reduce gastroesophageal reflux by allowing gravity to assist in keeping stomach contents down.
C. Providing a small feeding just before bedtime may increase the risk of gastroesophageal reflux and should be avoided.
D. Placing the newborn in a side-lying position if vomiting is not recommended due to the risk of aspiration. Infants should be placed on their back to sleep to reduce the risk of sudden infant
death syndrome (SIDS).
Correct Answer is A
Explanation
A. Eating a larger meal at breakfast and smaller meals throughout the day can help regulate appetite, reduce overall caloric intake, and promote weight loss.
B. Setting a weight loss goal of 2.5 pounds per week may be unrealistic or unsafe for some individuals. A more moderate and sustainable goal, such as 1-2 pounds per week, is typically recommended.
C. Meal replacement shakes can be a convenient option for some individuals as part of a weight loss plan, but they do not inherently cause weight gain. However, it's important to choose meal replacements with appropriate nutritional content and to use them as part of a balanced diet.
D. Drinking water with meals can help promote satiety and may prevent overeating, but it is not the only behavioral modification necessary for successful weight loss.
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