The nurse in an outpatient setting determines that the teen ...

[NguyenJ]

The nurse in an outpatient setting determines that the teen client is overweight by calculating the client's body mass index. The teen tells the nurse that cutting all fat from the diet is the way to lose weight.
 
  What initial action by the nurse is indicated? 1. Contact the physician
   2. Notify the client's parents
   3. Refer the client to a dietitian
   4. Discuss the role of fat in daily intake

Question 2

The nurse caring for a client with a hearing deficit should utilize which of the following interventions?
 
  1. Use short phrases
   2. Over-articulate words
   3. Vary the volume of voice through sentences
   4. Face the client during conversation

[janeli1]

Answer to Question 1

4. Discuss the role of fat in daily intake

Rationale:
All individuals require some fat in the diet. It is important for the nurse to discuss this with the client. A discussion with the parents and physician is likely warranted but can wait until after discussion with the client. The interaction will provide additional information concerning the client's knowledge of the needed dietary elements. A referral from the physician is needed to contact the dietitian.

Answer to Question 2

4. Face the client during conversation

Rationale:
The best intervention is to face the client during conversation so that the client can employ any lip-reading skills. The nurse should use longer phrases that more completely explain concepts. Over-articulation of words makes them difficult to lip-read. The volume of voice should be consistent.

[NguyenJ]

Excellent

[essyface1]

TYSM