The nurse is discussing a new diet prescription with a client who ...

[Themember4]

The nurse is discussing a new diet prescription with a client who is seeking help to lose weight. The client asks the nurse how to best balance the new diet. Which response by the nurse is most appropriate?
 
  A) Your diet should consist of 1,250-1,500 calories per day, with 15 of the calories being sources of protein.
  B) Your diet should be consist of 750-1,000 calories per day, with less than 15 of the total calories coming from fat.
  C) Your diet should simply cut 500 calories per day from your normal intake.
  D) Your diet should consist of 1,000-1,200 calories per day, with less than 15 of the total calories coming from fat.

Question 2

A client admitted with an exacerbation of multiple sclerosis is demonstrating frustration with eating because hand and arm spasms prevent the proper use of utensils.
 
  What should the nurse do to assist this client?
  A) Consult with Occupational Therapy regarding assistive devices for meals.
  B) Counsel the client to select finger foods for meals.
  C) Plan time to feed the client.
  D) Consult with Physical Therapy regarding hand and arm exercises.

[mohan]

Answer to Question 1

Answer: D

Collaboration with a nutritionist helps clients to identify healthy foods that appeal to them and that can make up a diet plan to create a daily 500- to 1,000-kcal deficit. Ideally, the recommended diet should be low in kilocalories and fat, contain adequate nutrients and minerals, and be high in dietary fiber. The client should eat regular meals with small servings. A gradual, slow weight loss of no more than 1-2 lb/week is recommended. For most individuals, this means a diet of 1,000-1,200 kcal/day for most women and 1,200-1,600 kcal/day for men. Fewer than 1,200 kcal each day may lead to loss of lean tissue and nutritional deficiencies.

Answer to Question 2

Answer: A

Since the ability to feed oneself is essential to positive self-concept and self-esteem, the nurse should consult with Occupational Therapy for devices that the client can use to maintain independence at meal times. The nurse should not counsel the client to select finger foods for meals, or feed the client. This would not support the client's self-concept and self-esteem needs. Physical Therapy might be consulted for hand splints, but hand and arm exercises might not be beneficial for this client.

[Themember4]

TYSM

[xiaomengxian]

Excellent