expresses desire to lose weight, first actions

Obtain a 24-hr dietary recall

Rationale: using nursing process is to obtain a diet history, such as a 24-hr dietary recall, write

down everything consumed over a 24-hr period is a crucial component of assessment process to

identify eating behaviors and therefore be able to recommend dietary modifications based on

data received Recommend checking weight once weekly weigh themselves regularly to

monitor weight loss or gain Assist w/ creating an exercise plan creation of a personalized

exercise plan to increase strength and promote weight loss Initiate a plan for diet modification

based on assessment data to promote weight loss.

nutritional requirements starting vegetarian diet. Info include in teaching

Include two servings per day of nuts when on a vegetarian diet.

Rationale: eat two servings of nuts or flaxseed per day to receive daily requirement of omega-3

fatty acids Consume high-fat cheese to replace meats when on a vegetarian diet consume

low-fat cheese as a protein substitute. High-fat cheese has more saturated fat and calories than

meat A vegetarian diet is high in vitamin B12 Foods that contain vitamin B12 are animal-related.

best sources of dietary vitamin B12 are meats and other animal products. As vitamin B12 is

generally not present in plant-based foods, take vitamin B12 supplements or consume foods

fortified w/ B12 to compensate for a potential deficiency Fewer calories are required when on a

vegetarian diet vegetarian diet require a deceased intake of dietary fat, increase intake of

nutrient-dense foods to avoid breakdown of body's protein for energy requirements.

acute inflammatory bowel disease; nutritional supplements providing

Hydrolyzed formula/Elemental formula

Rationale: provides protein and other nutrients in their simplest form, requiring little or no

digestion and decreasing stimulation of bowel. This type of formula is beneficial for clients who

have impaired digestion d/t conditions such as inflammatory bowel disease Polymeric formula

contains complex nutrient molecules and not indicated for clients who have impaired digestion

Milk-based supplement formula contain lactose and are poorly tolerated by clients who have

inflammatory bowel disease Modular product supplement formula intended to increase intake

of a specific nutrient w/o increasing volume; they are not intended for clients who have impaired

digestion.

type 1 diabetes how to count carbohydrates. statements indicates understanding teaching

"I know serving size can affect number of carbohydrates I eat"

Rationale: portion size affects number of carbohydrates "I am including vegetables as starch

items in my carbohydrate count." difference b/w starchy and nonstarchy vegetables to

accurately calculate carbohydrate count "I am limiting number of carbohydrates to four

carbohydrate choices or 60 grams per day." generally three to five carbohydrate choices, or

45 g, are allowed per meal, plus one to two carbohydrate choices for each snack "I know

carbohydrate count is dependent on calories in food item." carbohydrate count is not

dependent on calorie count of a food item. Fats and proteins can provide calories as well.