A nurse is caring for a client who reports she is having difficulty losing weight. Which of the following responses by the nurse is appropriate?

Correct Answer: C

Rationale: In this scenario, option C, "It is helpful to self-monitor your eating," is the most appropriate response by the nurse. Self-monitoring is a crucial aspect of weight management as it helps individuals become more aware of their eating habits, portions, and overall dietary intake. By tracking food consumption, clients can identify patterns, make informed choices, and adjust behaviors to support weight loss goals effectively. Option A, "Eat small portions of the high-calorie foods first," is incorrect because focusing on high-calorie foods, even in small portions, may not align with weight loss objectives. It is essential to encourage a balanced and nutritious diet rather than prioritizing high-calorie items. Option B, "Set a goal and you will be able to attain it," is overly simplistic and lacks practical guidance. While goal-setting is important, it alone may not address the complexities of weight management without specific strategies like self-monitoring. Option D, "Taste food while cooking to help curb your appetite," is also not the best response as tasting food while cooking may lead to increased calorie consumption and does not address the client's difficulty in losing weight effectively. Educationally, this question highlights the significance of promoting self-monitoring as a foundational tool in weight management. By teaching clients to track their food intake, they can make more informed decisions, identify areas for improvement, and progress towards their weight loss goals in a sustainable manner.

Correct Answer: B

Rationale: The correct answer is B) "This means that I will have diabetes for the rest of my life." This statement indicates a need for further teaching because it reflects a misunderstanding about gestational diabetes. Gestational diabetes typically resolves after giving birth, although it does increase the risk of developing type 2 diabetes later in life. Option A is correct as it shows understanding that gestational diabetes does not guarantee the baby will have the disease. Option C is incorrect as drinking non-diet soda is not recommended for managing gestational diabetes due to its high sugar content. Option D is incorrect as it correctly acknowledges the relationship between obesity and the development of diabetes, which is an important aspect to understand for managing gestational diabetes. In an educational context, it is crucial for nurses to provide accurate information to clients with gestational diabetes to empower them to make informed decisions about their health and the health of their baby. Understanding the temporary nature of gestational diabetes and the importance of lifestyle modifications can help clients manage their condition effectively during pregnancy and beyond.

Correct Answer: D

Rationale: In the context of a client with ascites secondary to liver disease, the correct intervention to include in the plan of care is to limit sodium intake to 2000 mg or less per day (Option D). This is because ascites is often associated with fluid retention, and reducing sodium intake helps to decrease fluid accumulation in the body. Excess sodium can lead to increased fluid retention, exacerbating ascites and putting further strain on the liver. Option A, reducing complex carbohydrates to 30% of total calories, is not the priority intervention for ascites. While monitoring carbohydrate intake is important in managing liver disease, focusing solely on complex carbohydrates does not directly address the fluid retention seen in ascites. Option B, restricting protein intake to less than 0.8 g/kg/day, is not appropriate for a client with ascites. Protein restriction is more common in clients with advanced liver disease and hepatic encephalopathy, not specifically in managing ascites. Option C, decreasing daily caloric intake by 20%, is not as crucial in the management of ascites compared to limiting sodium intake. Caloric adjustments may be necessary based on individual needs and comorbidities, but in the context of ascites, sodium restriction takes precedence due to its direct impact on fluid balance and ascites formation. Educationally, understanding the rationale behind each dietary intervention in liver disease management is crucial for nurses caring for these clients. Prioritizing interventions based on the specific pathophysiology and symptoms of the client is essential for providing effective care and improving outcomes.

Correct Answer: B

Rationale: In this scenario, the correct answer is option B: Provide low-fat carbohydrates with meals. This recommendation is appropriate because low-fat carbohydrates are generally easier to digest and less likely to exacerbate nausea in individuals experiencing an equilibrium imbalance. Carbohydrates provide a good source of energy without burdening the digestive system, which can be beneficial for someone dealing with nausea. Option A, encouraging the client to eat even if nauseated, is incorrect because forcing oneself to eat when experiencing nausea can worsen the symptoms and lead to further discomfort. It is essential to listen to the body's signals and provide foods that are well-tolerated. Option C, limiting fluid intake between meals, is also incorrect. Adequate hydration is crucial for overall health, and limiting fluids can lead to dehydration, which can worsen nausea and other symptoms. Option D, serving hot foods at mealtime, is not the most appropriate strategy for someone experiencing nausea due to equilibrium imbalance. Hot foods can sometimes exacerbate nausea, so it is important to focus on providing easily digestible and well-tolerated foods. In an educational context, understanding the impact of different food choices on individuals experiencing nausea is vital for nurses and healthcare professionals. It is crucial to tailor nutritional recommendations to the specific needs and symptoms of each patient to promote optimal well-being and comfort. By selecting the most suitable foods based on the individual's condition, healthcare providers can help manage symptoms effectively and support the patient's overall health and recovery.

Correct Answer: C

Rationale: In this scenario, option C, "Wrap gloved fingers with gauze to remove dentures," is the correct choice for several reasons. This method ensures that the dentures are handled hygienically, minimizing the risk of contamination. By using gloved fingers wrapped in gauze, the nurse can maintain cleanliness and prevent potential damage to the dentures. Additionally, this technique allows for a gentle and effective removal of the dentures without causing discomfort to the client. Option A, flossing dentures as part of daily cleaning, is incorrect as flossing is not applicable to denture care. Dentures should not be treated like natural teeth when it comes to cleaning methods. Option B, wiping dentures before storing them in a dry container at night, is not ideal as it does not address the proper removal and cleaning process. Option D, using a washcloth to clean the denture surfaces, is also incorrect as washcloths can be abrasive and may damage the delicate surfaces of dentures. From an educational standpoint, it is crucial for nurses to understand the specific care requirements for dentures to ensure the overall oral health and comfort of their clients. Proper technique in handling and cleaning dentures is essential to prevent infections, maintain oral hygiene, and promote overall well-being. By emphasizing the correct method of using gloved fingers wrapped in gauze for denture removal, nurses can provide effective care and support to clients who may have difficulty performing oral hygiene themselves.