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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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

Apply foam handles to the client's eating utensils. This intervention can help the client grip the utensils better and improve their ability to eat.

Reasons why the other options are not answers:

Option A: Having an assistive personnel feed the client may decrease the client's autonomy.

Option C: Obtaining a referral for physical therapy may be helpful but does not address the immediate issue of difficulty with eating.

Option D: Asking the provider for a prescription for a pureed diet may not be necessary or desirable at this time.

A. Ammonia 55 mcg/dL B. Platelets 60,000/mm² C. Aspartate aminotransferase 34 units/L D. Bilirubin 1.0 mg/dL

Correct Answer is B

Explanation

A platelet count of 60,000/mm² is below the expected reference range, and the nurse should report this value to the provider. Ammonia, aspartate aminotransferase, and bilirubin values are within expected reference ranges and do not require further reporting.

Other choices are not correct because:

A. Ammonia 55 mcg/dL: Is within the expected reference range and does not require further reporting.

C. Aspartate aminotransferase 34 units/L: Is within the expected reference range and does not require further reporting.

D. Bilirubin 1.0 mg/dL: Is within the expected reference range and does not require further reporting.

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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?

Nursing Test Bank

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