A nurse is providing information to an adult client about obesity management. Which of the following changes in behavior should the nurse include in the client's wellness plan?
Hold the fork through the entire meal.
Plan meals day by day.
Schedule three times to eat each day.
Eat off a smaller plate
The Correct Answer is D
Choice A rationale:
Holding the fork through the entire meal can lead to mindless eating and overeating. The client should put down the fork between bites and chew slowly to savor the food and feel full faster.
Choice B rationale:
Planning meals day by day can be stressful and impractical for the client. The client might not have enough time or resources to prepare healthy meals every day, or might be tempted by unhealthy options when hungry. The client should plan meals ahead of time, such as weekly or monthly, and stock up on nutritious foods that are easy to prepare.
Choice C rationale:
Scheduling three times to eat each day can be too rigid and unrealistic for the client. The client might not feel hungry at the scheduled times, or might feel hungry in between meals and snack
on junk food. The client should listen to their body and eat when they are hungry, but not too hungry. The client should also eat slowly and stop when they are full, but not too full.
Choice D rationale:
Eating off a smaller plate can help reduce the portion size and calorie intake of the client. This is a simple and effective way to manage obesity without feeling deprived or hungry. A smaller plate can also create an illusion of having more food, which can increase the satisfaction of the meal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Morphine subcutaneously can help reduce anxiety and stress, but supplying oxygen is the priority intervention.
Choice B rationale:
During a hypercyanotic spell ("tet spell"), the infant's oxygen levels drop, leading to cyanosis (blue skin) and distress. Administering oxygen can help improve oxygen saturation and alleviate the spell.
Choice C rationale:
Calming and soothing the child may not be sufficient to address the oxygen saturation issue during a hypercyanotic spell.
Choice D rationale:
Placing the infant in a knee-chest position can help improve blood flow, but administering oxygen should be the initial step.

Correct Answer is A
Explanation
Choice A rationale:
Following hypospadias repair, a urinary catheter is often placed to ensure proper healing. The duration of catheterization varies, but about 1 week is a common timeframe.
Choice B rationale:
Clamping the catheter tubing for extended periods is not a standard practice and can cause discomfort and complications.
Choice C rationale:
Applying antifungal ointment is not typically required after hypospadias repair.
Choice D rationale:
A prophylactic antibiotic is not typically prescribed for 6 weeks following hypospadias repair.
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