A nurse is reinforcing teaching with a client who wants to lose 0.9kg (2lb) of body fat per week. The nurse knows that 0.45 kg (1lb) of body fat is equal to 3500 calories. The nurse should instruct the client to reduce his daily caloric intake by how many calories?

Answer and Explanation

The Correct Answer is ["1000"]

To lose 0.9 kg (2 lb) of body fat per week, the client needs to create a weekly caloric deficit of 7000 calories (3500 x 2).

This means that he needs to reduce his daily caloric intake by 1000 calories (7000 / 7).

The nurse should instruct the client to calculate his current daily caloric intake and then subtract 1000 calories from that amount. The nurse should also advise the client to eat a balanced diet and exercise regularly to achieve his weight loss goal.

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Free Nursing Study Resources

Correct Answer is B, E, A, D, C

Explanation

B. Check the medication administration record to verify the client's allergies. Before preparing or administering any medication, the nurse must verify the client’s medication order and allergies to ensure safety. E. Ensure an air bubble is present in the prefilled enoxaparin syringe. The prefilled syringe contains an air bubble that should remain to ensure the entire dose is administered and to prevent medication from tracking back through the tissue. A. Locate the injection site 5 cm (2 in) to the right or left of the umbilicus. Enoxaparin should be administered in the subcutaneous tissue of the abdomen, avoiding areas near the umbilicus to reduce the risk of irritation and bruising. D. Pinch clean skin at the injection site and dart the needle into the skinfold at a 90° angle. Pinching the skin ensures the medication is delivered into the subcutaneous tissue, and injecting at a 90° angle minimizes pain and ensures proper technique. C. Slowly inject the medication into the site without aspirating. Aspiration is not necessary for subcutaneous injections. Slowly injecting reduces discomfort and ensures proper absorption.

A. Encourage three large meals daily. B. Administer an antiemetic after each meal. C. Season foods with spices. D. Provide a high-calorie diet.

Correct Answer is D

Explanation

Choice A Reason:
Encouraging three large meals daily might not be feasible for someone experiencing malnutrition and decreased appetite. Smaller, more frequent meals or snacks throughout the day could be better tolerated and more beneficial.
Choice B Reason:
Administering an antiemetic after each meal assumes that the client will experience nausea or vomiting regularly after eating. This might not be the case for all clients with AIDS and may not be necessary if the primary issue is malnutrition without associated frequent vomiting.
Choice C Reason:
Seasoning foods with spices might improve the taste of food and potentially stimulate appetite, but it's not as direct or comprehensive a measure for addressing malnutrition as providing a high-calorie diet.
Choice D Reason:
Provide a high-calorie diet is correct. Clients with AIDS often experience malnutrition due to various factors such as decreased appetite, difficulty eating, or malabsorption. Offering a high-calorie diet can help address nutritional deficiencies and support the body's increased energy needs.

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A nurse is reinforcing teaching with a client who wants to lose 0.9kg (2lb) of body fat per week. The nurse knows that 0.45 kg (1lb) of body fat is equal to 3500 calories. The nurse should instruct the client to reduce his daily caloric intake by how many calories?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer subcutaneous enoxaparin. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is B, E, A, D, C

Explanation

A nurse is contributing to the plan of care for a client who has AIDS and has malnutrition. Which of the following actions should the nurse include in the plan of care?

Correct Answer is D

Explanation

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