Biology Forums - Study Force

A client wants to lose 1.5 pounds a week. After reviewing a diet history, the nurse determines the client typically eats 2450 calories a day. What should the client's calorie goal be to achieve this weight loss?
 
  (Record your answer using a whole number.) __ calories/day

Question 2

A client weighs 228 pounds (103.6 kg) and is 5'3 (160 cm) tall. What is this client's body mass index (BMI)?
 
  (Record your answer using a decimal rounded up to the nearest tenth.) _____

Question 3

When working with older adults to promote good nutrition, what actions by the nurse are most appropriate? (Select all that apply.)
 
  a. Allow uninterrupted time for eating.
  b. Assess dentures for appropriate fit.
  c. Ensure the client has glasses on when eating.
  d. Provide salty foods that the client can taste.
  e. Serve high-calorie, high-protein snacks.

Question 4

A client's small-bore feeding tube has become occluded after the nurse administered medications. What actions by the nurse are best? (Select all that apply.)
 
  a. Attempt to dissolve the clog by instilling a cola product.
  b. Determine if any of the medications come in liquid form.
  c. Flush the tube before and after administering medications.
  d. Mix all medications in the formula and use a feeding pump.
  e. Try to flush the tube with 30 mL of water and gentle pressure.

Question 5

A nurse is designing a community education program to meet the Healthy People 2020 objectives for nutrition and weight status. What information about these goals does the nurse use to plan this event? (Select all that apply.)
 
  a. Decrease the amount of fruit to 1.1 cups/1000 calories.
  b. Increase the amount of vegetables to 1.1 cups/1000 calories.
  c. Increase the number of adults at a healthy weight by 25.
  d. Reduce the number of adults who are obese by 10.
  e. Reduce the consumption of saturated fat by nearly 10.

Question 6

A nurse has delegated feeding a client to an unlicensed assistive personnel (UAP). What actions does the nurse include in the directions to the UAP? (Select all that apply.)
 
  a. Allow 30 minutes for eating so food doesn't get spoiled.
  b. Assess the client's mouth while providing premeal oral care.
  c. Ensure warm and cold items stay at appropriate temperatures.
  d. Remove bedpans, soiled linens, and other unpleasant items.
  e. Sit with the client, making the atmosphere more relaxed.

The answer to question 1

ANS:
1700 calories/day
To encourage a weight loss of 1 pound (2.2 kg) a week, 500 calories per day would be subtracted. To encourage a weight loss of 2 pounds (4.4 kg) a week, 1000 calories each day are subtracted. In this scenario, to lose 1.5 pounds a week the client needs to cut 750 calories per day from the diet: 2450 - 750 = 1700 calories.

The answer to question 2

ANS:
40.4
Using the formula :
, or 40.4 rounded up to the nearest tenth.

The answer to question 3

ANS: A, B, C, E
Older adults need unhurried and uninterrupted time for eating. Dentures should fit appropriately and glasses, if used, should be on. High-calorie, high-protein snacks are a good choice. Salty snacks are not recommended because all adults should limit sodium in their diets.

The answer to question 4

ANS: B, C, E
If the tube is obstructed, use a 50-mL syringe and gentle pressure to attempt to open the tube. Cola products should not be used unless water is not effective. To prevent future problems, determine if any of the medications can be dispensed in liquid form and flush the tube with water before and after medication administration. Do not mix medications with the formula.

The answer to question 5

ANS: B, D, E
Some of the goals in this initiative include increasing fruit consumption to 0.9 cups/1000 calories, increasing vegetable intake to 1.1 cups/1000 calories, increasing the number of people at a healthy weight by 10, decreasing the number of adults who are obese by 10, and reducing the consumption of saturated fats by 9.5.

The answer to question 6

ANS: C, D, E
The UAP should make sure food items remain at the appropriate temperatures for maximum palatability. Removing items such as bedpans, urinals, or soiled linens helps make the atmosphere more conducive to eating. The UAP should sit, not stand, next to the client to promote a relaxing experience. The client, especially older clients who tend to eat more slowly, should not be rushed. Assessment is done by the nurse.

I can't even begin to explain how much your help meant to me!

Happy to hear that, good luck with the rest of them