A nurse is reinforcing teaching with a client who has a BMI of 32 and wants to lose weight. Which of the following statements should the nurse make to promote the client's weight loss?
"Consume 500 fewer calories per day than your estimated calorie needs." B. "Plan your meals so up to 40 percent of your calories come from fats."
"Include refined grains as a good carbohydrate in your diet."
"Reward yourself with special foods for achieving short-term goals."
The Correct Answer is A
"Consume 500 fewer calories per day than your estimated calorie needs." Consuming slightly fewer calories than one's estimated calorie needs can help promote weight loss in a healthy and safe way. Planning meals so that up to 40% of calories come from fats is not typically recommended when trying to lose weight, as too much fat can lead to excess calorie intake. Refined grains should be avoided in favor of whole grains, and it is not recommended to reward oneself with special foods for achieving short-term goals.
Choice B: Planning meals so that up to 40% of calories come from fat is not typically recommended when trying to lose weight, as too much fat can lead to excess calorie intake.
Choice C: Refined grains should be avoided in favor of whole grains.
Choice D: It is not recommended to reward oneself with special foods for achieving short-term goals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is: Choice A: Maintain direct pressure over the site.
Here's the rationale for each choice:
- Choice A: Maintain direct pressure over the site (CORRECT) This is the most important initial step in controlling bleeding for any patient, especially one with hemophilia who has a deficiency in clotting factors. Maintaining pressure directly on the wound helps to form a clot and stop the bleeding.
- Choice B: Check whether the bleeding has stopped While checking for bleeding cessation is important, it shouldn't be the immediate next step after applying a dressing. Maintaining pressure ensures the dressing remains effective. Once pressure is released, you can assess for continued bleeding.
- Choice C: Obtain a radial pulse Assessing the radial pulse is not directly related to managing the bleeding from the laceration. While it's a vital sign, it's not a priority in this situation.
- Choice D: Reinforce the dressing over the site While reinforcing the dressing might be necessary later if it becomes saturated with blood, maintaining direct pressure is the crucial first step.
Correct Answer is B
Explanation
BUN 40 mg/dL. Elevated BUN levels can indicate impaired kidney function, which can be a potential adverse effect of long-term NSAID therapy.
Reasons why the other options are not answers:
Option A: Total bilirubin 0.8 mg/dL is a normal value and does not require reporting to the provider.
Option C: PaO2 90 mm Hg is within the normal range and does not require reporting to the provider.
Option D: Hematocrit 45% is within the normal range and does not require reporting to the provider.
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