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 A
Explanation
Choice A reason: Reducing the client's sodium intake is an appropriate intervention for the nurse to take because it can help prevent fluid retention and edema, which are complications of heart failure. Sodium intake should be limited to 2 g per day or less for clients who have heart failure.
Choice B reason: Restricting the client's protein intake is not an appropriate intervention for the nurse to take because it can cause malnutrition and muscle wasting, which can worsen heart failure. Protein intake should be adequate to meet the client's nutritional needs and support cardiac function. Protein intake should be about 0.8 to 1.2 g per kg of body weight per day for clients who have heart failure.
Choice C reason: Weighing the client once per week is not an appropriate intervention for the nurse to take because it can delay the detection and treatment of fluid overload, which can worsen heart failure. The client should be weighed daily at the same time and with the same scale and clothing to monitor fluid status and adjust medication dosage.
Choice D reason: Providing the client with three large meals per day is not an appropriate intervention for the nurse to take because it can increase the workload of the heart and cause dyspnea, fatigue, or chest pain, which are symptoms of heart failure. The client should be provided with small, frequent meals that are low in sodium, fat, and cholesterol to reduce cardiac stress and promote digestion.
Correct Answer is A
Explanation
Choice A reason: Alternating the first breast that is offered to the baby with each feeding is a good practice for breastfeeding because it can ensure equal stimulation and drainage of both breasts, which can prevent engorgement, mastitis, or low milk supply. Alternating breasts can also provide the baby with both foremilk and hindmilk, which have different compositions and benefits.
Choice B reason: Storing breast milk in the refrigerator up to 48 hours is not a good practice for breastfeeding because it can reduce the quality and safety of the milk. Breast milk should be stored in the refrigerator for no longer than 24 hours or in the freezer for no longer than 6 months. Breast milk should also be stored in clean, sterile containers and labeled with the date and time of expression.
Choice C reason: Nursing the baby once every 4 hours is not a good practice for breastfeeding because it can decrease the milk production and supply, which can affect the growth and development of the baby. Breastfeeding should be done on demand or at least every 2 to 3 hours during the day and every 3 to 4 hours at night. Breastfeeding should also last for at least 10 to 15 minutes per breast or until the baby is satisfied.
Choice D reason: Offering the baby water between feedings is not a good practice for breastfeeding because it can interfere with the baby's appetite and intake of breast milk, which can cause dehydration, malnutrition, or failure to thrive. Breast milk contains enough water and nutrients to meet the baby's needs for the first six months of life. Water should be avoided or limited until the baby starts solid foods.
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