The overweight client has expressed interest in losing weight to the nurse. Which of the following interventions should the nurse provide for this client?

1. Assist client in developing a dietary plan that reduces caloric intake by 750 calories per day
2. Obtain daily laboratory values
3. Assist client to maintain a food and activity diary for 6 months
4. Assist client to plan for ways to reduce the amount of time that is spent sitting each day


4

Rationale: This client should be assisted to initially reduce dietary intake by 500 calories per day. Laboratory values do not need to be obtained this frequently. A food and activity diary should be maintained for one week. There is no reason to assess this information for 6 months. The client should be assisted to plan ways to decrease the amount of time that is spent sitting each day. Physical activity can be increased per advisement of the client's primary health-care provider.

Nursing

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