A client with a BMI of 30 has set a goal to lose 10% of her current body weight within 6 months. The nurse realizes that the safest level of weight loss for this client would be:
1. 1 to 2 pounds each week.
2. 3 pounds each week.
3. 4 to 5 pounds each week.
4. 6 pounds each week.
1
To reduce body weight by 10% for a person with a BMI of 30 would be to lose 1 to 2 lbs each week. The other amounts of weekly weight loss might lead to nutritional disorders.
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An older patient with chronic renal failure is exhibiting manifestations of anemia. Why is this occurring in the patient?
1. The result of renal dialysis 2. Loss of the kidney hormone erythropoietin 3. Loss of appetite related to elevated blood urea nitrogen (BUN) and creatinine levels 4. Loss of blood through the urine because the failing kidney does not function properly
An older adult has recently experienced a number of stressful life events. The client comes to the ambulatory clinic and tells the nurse that, "On top of all I've had to endure, now I've got this flu!"
In rendering care for this client, the nurse recognizes that: a. the client is exhibiting attention-seeking behaviors to substitute for poor coping skills. b. crisis and stressful situations may produce emotions that erode the health of the older people. c. the client is exhibiting learned helplessness as a result of the recent stressors. d. a period of crisis will ultimately lead to a lower level of physical and mental func-tioning.
A parent of a child with an anxiety disorder states, "I don't know how my child developed this problem." On what information should the nurse base a response?
a. Genetic factors, hormonal imbalances, and societal influences all contribute to the development of anxiety disorders in children. b. Like many conditions affecting children, the etiology of anxiety disorders is unknown. c. The majority of anxiety disorders have a clear pattern of genetic inheritance. d. Dysfunctional family patterns are usually identified as the cause of an anxiety disorder.
A practicing nurse is interested in health care economics. To create an environment where health care more closely resembles the consumer market, this nurse would place high priority on activities revolving around
a. educating patients and families. b. exploring the costs of treatment. c. understanding payment options. d. using less expensive supplies.