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.
Refer the client to a weight-loss support group.
Advise the client to add 500 calories per day to the diet.
Encourage the client to continue current daily caloric intake.
The Correct Answer is B
Choice A reason: Recommending a total fiber intake of 12 g each day is not an appropriate action for the nurse to take because it is too low for most adults. The recommended dietary allowance (RDA. for fiber is 25 g per day for women and 38 g per day for men, which can help lower cholesterol, regulate blood sugar, and promote bowel health.
Choice B reason: Referring the client to a weight-loss support group is an appropriate action for the nurse to take because it can help the client achieve and maintain a healthy weight. A body mass index (BMI) of 28 indicates overweight, which can increase the risk of chronic diseases, such as diabetes, hypertension, and cardiovascular disease. A weight-loss support group can provide education, motivation, and accountability for the client.
Choice C reason: Advising the client to add 500 calories per day to the diet is not an appropriate action for the nurse to take because it can lead to weight gain. A client who has a BMI of 28 does not need to increase their caloric intake unless they have other medical conditions or nutritional needs that require more calories. Adding 500 calories per day to the diet can result in gaining about one pound per week, which can worsen the health outcomes of the client.
Choice D reason: Encouraging the client to continue current daily caloric intake is not an appropriate action for the nurse to take because it may prevent weight loss. A client who has a BMI of 28 needs to reduce their caloric intake by 500 to 1,000 calories per day to lose one to two pounds per week, which is considered a safe and effective rate of weight loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hot dog cut in fourths is not an appropriate food choice for toddlers because it is still a choking hazard. Hot dogs are cylindrical and firm, which can block the airway of a child. Hot dogs should be avoided or cut into thin slices and small pieces before offering to toddlers.
Choice B reason: Cooked spaghetti with sauce is an appropriate food choice for toddlers because it is soft, easy to chew, and provides carbohydrates, protein, and vitamins. Cooked spaghetti can be cut into short strands and mixed with sauce to make it more appealing and moist for toddlers.
Choice C reason: Steak cut into small pieces is not an appropriate food choice for toddlers because it is tough, dry, and hard to chew. Steak can cause choking or difficulty swallowing for toddlers who have not developed their molars and chewing skills. Steak should be avoided or minced and moistened before offering to toddlers.
Choice D reason: Caramel popcorn is not an appropriate food choice for toddlers because it is sticky, sweet, and hard. Caramel popcorn can stick to the teeth and gums, causing dental caries and gum infections. Popcorn can also cause choking or aspiration for toddlers who have not mastered their swallowing reflex. Popcorn should be avoided until the child is at least 4 years old.
Correct Answer is D
Explanation
Choice A reason: Using a washcloth to clean the denture surfaces is not a good practice for denture care because it can damage or scratch the dentures. A washcloth is too rough and abrasive for denture cleaning. A soft-bristled toothbrush or a special denture brush should be used to clean the denture surfaces gently.
Choice B reason: Wiping dentures before storing them in a dry container at night is not a good practice for denture care because it can cause warping or cracking of the dentures. Dentures should be rinsed thoroughly and soaked in water or a denture cleanser solution at night to keep them moist and prevent deformation.
Choice C reason: Flossing dentures as part of daily cleaning is not a necessary practice for denture care because it does not remove plaque or food particles effectively from the dentures. Flossing dentures can also damage or dislodge the artificial teeth or gums. Brushing and rinsing dentures are sufficient for daily cleaning.
Choice D reason: Wrapping gloved fingers with gauze to remove dentures is a good practice for denture care because it can prevent slipping or dropping of the dentures. Gauze provides friction and grip for removing dentures safely and gently. Gloves protect from contamination and infection.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.