A nurse is working with a group of patients. One patient states, "My goal is to reduce my weight from 280 pounds to 230 pounds in 6 months." What response by the nurse would be most appro-priate for this patient?
a. "Most weight loss occurs in the first 6 months, so you should try to reduce your weight to 200 pounds."
b. "Safe and maintainable weight loss should be about 10% of body weight in 6 months."
c. "That is a realistic goal for your weight-reduction program."
d. "Weight loss of more than 20 pounds in 6 months could be dangerous."
B
Safe weight loss should be about 10% of body weight in 6 months (ie, 28 pounds for this patient). A loss of 50 pounds in 6 months is unsafe for this patient. Advising the patient to aim for a weight loss of 80 pounds in the first 6 months is less realistic than a reduction of 50 pounds and may harm the patient. Weight loss of more than 20 pounds in 6 months is not dangerous, because it falls within the guideline of 10% of body fat (ie, 28 pounds for this patient).
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