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Nutrition ATI Practice A & B 2019

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A nurse is caring for a client who expresses a desire to lose weight. Which of the following actions should the nurse take first? A. Recommend checking weight once weekly. B. Obtain a 24-hour dietary recall. C. Assi ...

A nurse is caring for a client who expresses a desire to lose weight. Which of the following actions should the nurse take first? A. Recommend checking weight once weekly. B. Obtain a 24-hour dietary recall. C. Assist with creating an exercise plan. D. Initiate a plan for diet modification. * Answer-B. Obtain a 24-hour dietary recall. Explanations: A. The nurse should recommend the client weigh themselves regularly to monitor weight loss or gain; however, there is another action the nurse should take first. B. The first action the nurse should take using the nursing process is to obtain a diet history, such as a 24-hr dietary recall. Having the client write down everything consumed over a 24-hr period is a crucial component of the assessment process to identify eating behaviors and therefore be able to recommend dietary modifications based on the data received. C. The nurse should assist the client with the creation of a personalized exercise plan to increase strength and promote weight loss; however, there is another action the nurse should take first. D. The nurse should initiate a personalized diet modification plan with the client based on the client's assessment data to promote weight loss; however, there is another action the nurse should take first. A nurse is teaching about nutritional requirements for a client who is starting a vegetarian diet. Which of the following information should the nurse include in the teaching? A. Consume high-fat cheese to replace meats when on a vegetarian diet. B. A vegetarian diet is high in vitamin B12. C. Fewer calories are required when on a vegetarian diet. D. Include two servings per day of nuts when on a vegetarian diet. * Answer-D. Include two servings per day of nuts when on a vegetarian diet. Explanations: A. The nurse should instruct the client to consume low-fat cheese as a protein substitute. High-fat cheese has more saturated fat and calories than meat. B. Foods that contain vitamin B12 are animal-related. The best sources of dietary vitamin B12 are meats and other animal products. As vitamin B12 is generally not present in plant-based foods, the nurse should instruct the client to take vitamin B12 supplements or consume foods fortified with B12 to compensate for a potential deficiency.

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