A patient with a BMI of 29 says, "I cut out all my sweet snacks last week, and I still can't lose any weight." How should the nurse respond to this patient?
1. "Let's calculate how many calories you are not eating each day."
2. "I recommend that you go see a dietician."
3. "I'll make a note in your file that you no longer eating sweet snacks."
4. "You didn't gain the weight overnight."
Correct Answer: 1
A pound of body fat is equivalent to 3500 kilocalorie (kcal). To lose one pound, therefore, a person must reduce daily caloric intake by 250 kcal for 14 days or increase activity enough to burn the equivalent kcal. There is no need for the nurse to refer the patient to a dietician. Dietary teaching about weight reduction is within the nurse's scope of practice. Documenting the patient's comments is not the priority. Discussing the time it took for the patient to gain the weight will not promote a therapeutic environment.
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