A nurse is teaching about weight loss to a client who weighs 154 lb. The client has been consuming 30 cal/kg/day. The nurse instructs the client to decrease her intake by 10 cal/kg/day. How many calories should the client consume per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["1400"]
Convert weight to kilograms.
Weight (kg) = 154 lb / 2.2 lb/kg
= 70 kg
Calculate current daily calories.
Current calories = 30 cal/kg/day × 70 kg
= 2100 cal
Calculate the calorie decrease.
Decrease = 10 cal/kg/day × 70 kg
= 700 cal
Calculate the new daily calorie intake.
New intake = 2100 cal - 700 cal
= 1400 cal
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Whole-wheat pasta, green salad, and diet cola: While this meal is low in fat and suitable for hypertension, it lacks a clear protein source. Additionally, diet cola contains caffeine and artificial sweeteners, which some clients may choose to avoid due to personal or health preferences.
B. Broiled chicken, grilled potatoes, and lemonade: This option is appropriate for a client with hypertension and complies with Islamic dietary laws. Chicken is a halal protein, and the meal is low in sodium and saturated fat. Lemonade is a non-caffeinated beverage that aligns with religious and health considerations.
C. Roast beef, brown rice, and coffee: Roast beef is permissible if it is halal, but this cannot be assumed unless specified. Coffee contains caffeine, which some individuals with hypertension may need to limit. The meal also lacks details on fat and sodium content.
D. Grilled pork loin, steamed vegetables, and water: Pork is strictly prohibited (haram) in Islamic dietary laws. Although the vegetables and water are appropriate, the inclusion of pork makes this meal unacceptable for a practicing Muslim.
Correct Answer is A
Explanation
A. "I use soup broth instead of butter to flavor food.": This reflects a positive dietary change aimed at reducing saturated fat and sodium intake, both important in managing hypertension. Using broth adds flavor without the added fat and calories of butter, supporting heart health.
B. "I have started cooking most of my meals.": While home-cooked meals can promote healthier eating, the nutritional value depends on the ingredients and methods used. This statement alone does not confirm whether low-sodium or low-fat cooking practices are being followed.
C. "I eat cheese cubes and crackers as snack.": Cheese and many crackers are high in sodium and saturated fats, which can worsen hypertension. This snack choice suggests the client has not yet adopted heart-healthy dietary practices recommended during counseling.
D. "I add canned vegetables to my homemade soup.": Canned vegetables often contain high amounts of sodium unless labeled low-sodium or rinsed before use. Including them without modifications could increase salt intake and negatively affect blood pressure management.
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