A nurse is setting health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should be included in the plan?
The client will increase calorie intake by 200 cal per day.
The client will list foods that are high in calcium, which should be avoided.
The client will replace cigarettes with smokeless tobacco products.
The client will walk for 30 min 5 days a week.
The Correct Answer is D
Choice A rationale
Increasing calorie intake by 200 cal per day may not be beneficial for this client. The client has a BMI of 26, which is considered overweight. Therefore, a goal to increase calorie intake may contribute to further weight gain.
Choice B rationale
Listing foods that are high in calcium which should be avoided is not a relevant goal for this client. Calcium is an essential nutrient and there is no indication that the client needs to avoid it.
Choice C rationale
Replacing cigarettes with smokeless tobacco products is not a healthy goal. Smokeless tobacco products also contain harmful chemicals and can lead to health problems.
Choice D rationale
Walking for 30 min 5 days a week is a beneficial goal for this client. Regular physical activity can help manage weight, lower blood pressure, and reduce the risk of heart disease. It can also help the client quit smoking by reducing cravings and withdrawal symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Limiting fluid intake to 1 liter per day is not recommended for patients who have experienced an acute gout attack. Adequate hydration is important for all individuals, especially those with gout, as it can help to prevent the formation of uric acid crystals.
Choice B rationale
Taking one aspirin every day is not typically recommended for gout patients. Aspirin can actually increase uric acid levels in the blood and potentially trigger a gout attack.
Choice C rationale
Adhering to a high-purine diet is not recommended for gout patients. Foods high in purines can increase uric acid levels in the blood, potentially triggering a gout attack.
Choice D rationale
Restricting alcohol consumption is a key part of managing gout. Alcohol, especially beer, can increase uric acid levels in the blood and trigger gout attacks.
Correct Answer is C
Explanation
Choice A rationale
While performing self-examinations for breast cancer can help in early detection of the disease, it does not provide information about a person’s genetic risk for developing breast cancer.
Choice B rationale
Having a suspicious mammogram could indicate the presence of breast cancer or other abnormalities, but it does not provide information about a person’s genetic risk for developing the disease.
Choice C rationale
Being aware of one’s BRCA (breast cancer gene) status is directly related to understanding their genetic risk for breast cancer. Mutations in the BRCA1 and BRCA2 genes significantly increase the risk of developing breast cancer.
Choice D rationale
Noticing dimpling during a breast self-exam could be a sign of breast cancer, but it does not provide information about a person’s genetic risk for developing the disease.
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