When planning nutritional goals with an overweight client with metabolic syndrome, the nurse explain the importance of:
1. Achieving a BMI < 25 within 3 months and maintaining that weight with diet and exercise.
2. 30 minutes of brisk walking daily and a high protein diet.
3. The loss of 5–10% of body weight over the next 6 to 12 months and increased activity.
4. Daily exercise for 60 minutes and a low-fat low-carbohydrate diet.
3
Rationale: The underlying risk factors for metabolic syndrome are obesity and inactivity. In numerous studies, rapid weight loss is not as sustainable as slower weight loss over time. Achieving a BMI < 25 is an appropriate goal; however, doing so in three months may not be realistic considering the client is obese to start with. The loss of 5–10% of the current weight over 6 to 12 months and increasing daily activity is a more realistic goal and may be perceived as more attainable by the client as well. Daily exercise for 60 minutes for an obese client with a sedentary lifestyle is not a realistic first goal.
You might also like to view...
A nurse manager has just posted the membership list for a newly formed quality management task force. Which statement, overheard by the manager, indicates the most potential for problems on the team?
1. "I'm glad I didn't get chosen for this task force. I'm so busy with my kids right now." 2. "I was on one of these teams at my last hospital." 3. "This is certainly an interesting choice of people to put together." 4. "She is such a good nurse; I hope she doesn't work herself too hard."
A pediatric patient is prescribed valproic acid (Depacon) 340 mg intravenously. The available drug solution is 500 mg in 5 mL. How many milliliters should you give?
a. 1.4 b. 2.4 c. 3.4 d. 4.4
Sodium bicarbonate and potassium chloride are examples of drugs that are prescribed in milliequivalents,
a unit of measure based on the chemical combining power of the substance. Indicate whether the statement is true or false
Which of the following actions must the nurse take in preparing two different medications from two vials?
a. Inject fluid from one vial into the other. b. Uncap the syringe, and wipe the needle with an alcohol preparation before inserting into either vial. c. Discard the medication from vial number two if medication from vial number one is pushed into it. d. Insert air into the first vial, but not the second vial.