Author Question: A patient wants to lose 17 pounds. The nurse is aware that the most successful long-term weight loss ... (Read 89 times)

schs14 · **on:** Jul 22, 2018

A patient wants to lose 17 pounds. The nurse is aware that the most successful long-term weight loss programs are which of the following?

a. Programs that get the weight off quickly
b. Programs that include awareness of portion sizes
c. Programs that focus on reducing bad carbohydrates
d. Programs that use purchased premeasured food

Question 2

A patient is confused and is attempting to get out of the hospital bed. The nurse is tired after working for more than 10 hours and is concerned for the patient's safety.

What is the best action that the nurse should take to prevent the patient from harm? a. Restrain the patient with wrist restraints.
b. Place the patient with a belt restraint in a chair.
c. Sedate the patient with medication.
d. Ask a family member to sit with the patient.

abctaiwan · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
A successful weight-loss plan involves sustainable lifestyle modifications that include physical activity, self-monitoring, portion control, and knowledge of energy content of food. Getting the weight off quickly is not healthy. The Dietary Approaches to Stop Hypertension has shown to reduce blood pressure and focuses on reducing the bad cholesterol, not the bad carbohydrates. There is a lack of good evidence evaluating the effectiveness of commercial weight-loss programs.

Answer to Question 2

D
Asking a family member to sit with the patient is the best answer because it does not restrain the patient physically or chemically. The Joint Commission has set guidelines for the use of restraints in hospitals. These regulations set the standard that all patients have the right to be free from seclusion and physical or chemical restraints except to ensure the patient's safety in emergency situations. The standards specifically prohibit restraining patients for staff convenience, punishment, or retaliation.