After successfully losing 0.5 to 1 pound weekly for several months, a client at the clinic has not lost any weight for the last month. The nurse should first:

explore whether the client has made any changes to diet or exercise pattern.

discuss bariatric surgery with the client.

review diet and exercise guidelines with the client.

instruct the client to record weight weekly.

Answer and Explanation

The Correct Answer is A

A. Before taking further action, the nurse should investigate whether there have been any changes in the client's diet, exercise routine, or lifestyle that may have contributed to the plateau in weight loss. Understanding any modifications made by the client can provide valuable insights into potential factors affecting their weight loss progress.
B. Bariatric surgery is a significant decision that requires careful consideration and evaluation of various factors. It is not appropriate to jump to this option without first exploring other potential reasons for the lack of weight loss.
C. While it's essential to review diet and exercise guidelines periodically to ensure the client is following appropriate recommendations, this option may not address the underlying cause of the recent lack of weight loss.
D. Regular weight monitoring is an important component of weight management and can provide valuable information about the client's progress. However, instructing the client to record weight weekly alone may not address the underlying reason for the lack of weight loss.

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Correct Answer is B

Explanation

B. Losing 1 pound in one week is generally considered a safe and sustainable rate of weight loss for many individuals. It is recommended by health professionals as a realistic and achievable goal for healthy weight loss.
A. Losing 5 pounds in one week would be considered too rapid and potentially unhealthy weight loss. Rapid weight loss can lead to various health issues, including nutritional deficiencies, muscle loss, and a higher likelihood of regaining the weight later on
C. Losing 10 pounds in one month would also be considered too rapid and potentially unhealthy weight loss, especially if sustained over a longer period.
D. Losing 3 pounds in one week may be achievable for some individuals, but it is generally considered more rapid than the recommended rate of 1 pound per week.

A. eat small frequent meals during the day. B. enroll in smoking cessation classes as needed. C. take omeprazole 30 minutes after meals when acid levels are highest. D. elevate the head of the bed at night. E. eat your largest meal at bedtime.

Correct Answer is ["A","B","D"]

Explanation

A. Eating smaller, more frequent meals can help reduce the likelihood of gastric distention and decrease the pressure on the lower esophageal sphincter (LES), which can help reduce reflux symptoms.
B. Smoking is a risk factor for GERD as it can weaken the LES and increase acid reflux. Therefore, quitting smoking can help alleviate symptoms and improve overall health.
D. Elevating the head of the bed by 6 to 8 inches can help reduce nighttime reflux symptoms by using gravity to prevent stomach acid from flowing back into the esophagus.
C. Proton pump inhibitors (PPIs) like omeprazole are typically taken before meals to inhibit acid production and prevent reflux symptoms. Taking omeprazole after meals may not provide optimal acid suppression when it is most needed.
E. Eating a large meal right before bedtime can increase the likelihood of reflux symptoms as lying down after eating can worsen reflux. It is recommended to avoid large meals, particularly before bedtime, to minimize GERD symptoms.

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After successfully losing 0.5 to 1 pound weekly for several months, a client at the clinic has not lost any weight for the last month. The nurse should first:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is ["A","B","D"]

Explanation

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