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.

2. A nurse is teaching about nutritional requirements for a client

who is starting

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.

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

a vegetarian diet. cheese as a protein substitute. High-fat cheese has more

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.

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, the nurse should instruct

the client to take vitamin B12 supplements or consume

foods fortified with B12 to compensate for a potential

deficiency.

C. Clients who are consuming a vegetarian diet require a

deceased intake of dietary fat rather than fewer calories.

The nurse should instruct the client to increase intake of