A nurse is caring for a client who expresses a desire to lose weight. Which
of the following actions should the nurse take first?
A. Recommend checking weight once weekly.
B. Obtain a 24-hour dietary recall.
C. Assist with creating an exercise plan.
D. Initiate a plan for diet modification.
(Ans- B. Obtain a 24-hour dietary recall.
Explanations:
A. The nurse should recommend the client weigh themselves regularly to
monitor weight loss or gain; however, there is another action the nurse
should take first.
B. The first action the nurse should take using the nursing process is to
obtain a diet history, such as a 24-hr dietary recall. Having the client write
down everything consumed over a 24-hr period is a crucial component of
the assessment process to identify eating behaviors and therefore be able
to recommend dietary modifications based on the data received.
C. The nurse should assist the client with the creation of a personalized
exercise plan to increase strength and promote weight loss; however, there
is another action the nurse should take first.
D. The nurse should initiate a personalized diet modification plan with the
client based on the client's assessment data to promote weight loss;
however, there is another action the nurse should take first.
A nurse is teaching about nutritional requirements for a client who is
starting a vegetarian diet. Which of the following information should the
nurse include in the teaching?
A. Consume high-fat cheese to replace meats when on a vegetarian diet.
B. A vegetarian diet is high in vitamin B12.
C. Fewer calories are required when on a vegetarian diet.
D. Include two servings per day of nuts when on a vegetarian diet.
(Ans- D. Include two servings per day of nuts when on a vegetarian diet.
Explanations:
A. The nurse should instruct the client to consume low-fat cheese as a
protein substitute. High-fat cheese has more saturated fat and calories than
meat.
B. Foods that contain vitamin B12 are animal-related. The best sources of
dietary vitamin B12 are meats and other animal products. As vitamin B12 is
generally not present in plant-based foods,
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