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colleen colleen
wrote...
Valued Member
Posts: 17076
11 years ago
A patient with a BMI of 29 says, “I cut out all my sweet snacks last week and I still can’t lose any weight.” Which of the following would be appropriate for the nurse to do or say in response?
1. “Let’s calculate how many calories you are not eating each day.”
2. Refer the patient to a dietician.
3. Document that the patient states he is no longer eating sweet snacks.
4. “You didn’t gain the weight overnight.”
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Sunshine ☀ ☼

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wrote...
Valued Member
11 years ago
1 -- A pound of body fat is equivalent to 3500 kilocalorie (kcal). To lose one pound, therefore, a person must reduce daily caloric intake by 250 kcal for 14 days or increase activity enough to burn the equivalent kcal. A physician’s order is required for a dietary referral. Documenting the patient’s comments is not the priority. Discussing the time it took for the patient to gain the weight will not promote a therapeutic environment.
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