The nurse is assisting a 79-year-old patient with information about diet and weight loss. The patient has a body mass index (BMI) of 31. How should the nurse instruct this patient?
a. "Your weight is within normal limits. Continue maintaining with current lifestyle choices."
b. "You are a little overweight. Cut down on calories and increase your activity, and you should be fine."
c. "You are morbidly obese, and we would like to schedule you an appointment to speak with a bariatric specialist about surgery."
d. "You are considered obese and will need to consult with your doctor about a plan that includes exercises, not diet, to decrease weight."
ANS: D
This patient is at an increased risk for sarcopenia and should be instructed to increase activity that includes strength training to prevent muscle loss. Diet is not indicated. A BMI of 31 is considered obese; however, this patient does not qualify for surgical intervention until BMI reaches over 35.
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