RN hesi fundamentals
RN hesi fundamentals ( 24 Questions)
The client is a 29-year-old female. She has no significant medical or surgical history. She takes an oral contraceptive and a multivitamin daily. She occasionally takes fexofenadine for seasonal allergies. She denies smoking cigarettes. She occasionally drinks alcohol (2- 3 drinks per week) and consumes cannabis (1-2 times per month). She exercises 1 hour per day and works in a job where she walks and moves frequently.
The nurse discusses the need to balance energy intake and output to maintain weight.
History and Physical
The client is in the clinic today for a physical exam. She brought in several days of dietary history for her nutritional
assessment.
Her estimated resting energy need is 1421, and her physical activity coefficient is 1.27 (active). The client would like to maintain her body weight.
Nurses' Notes Flow Sheet
Monday
Breakfast- 250
Lunch- 360
Dinner- 450
Snack- 350
Total= 1410 Tuesday Breakfast- 310
Lunch- 700
Dinner- 240
Snack- 200
Total= 1450 Wednesday Breakfast- 250
Lunch- 510
Dinner- 840
Snack- 80
Total= 1680 Thu
Breakfast- 250
Lunch- 400
Dinner- 510
Snack- 300
Total= 146
The nurse should recommend that the client --------- or--------- to maintain an energy
balance.
This option is not recommended because the client is already engaging in a reasonable amount of exercise, and decreasing it may not be necessary for maintaining weight.
To maintain energy balance, the client may need to increase caloric intake, especially considering her estimated resting energy need and active lifestyle. The client's estimated energy expenditure is 1804 calories per day, based on her resting energy need and physical activity coefficient. However, her average daily caloric intake
is 1500 calories, which is lower than her energy output. This could lead to weight loss over time, which may not be desirable for the client.
This statement seems to be a typographical error. If it is intended to mean "eat fewer meals with high fat content," it might be valid. However, simply reducing dietary fat might not be the primary solution.
While weight training is beneficial for overall health, it might not be the primary solution for achieving an energy balance. Increasing caloric intake might be more directly related to the goal.
No explanation