Difficulty: Medium
Average Score: 80%
Simulated
After successfully losing one pound weekly for several months, an obese client at the clinic has not lost any weight for the last month. What should the nurse do first?
Correct answer
B
Rationale
The correct answer is B. Asking the client whether there have been any changes in diet or exercise patterns is the first step because it helps identify potential reasons for the weight loss plateau. This allows the nurse to gather important information to determine if any adjustments are needed. Reviewing diet and exercise guidelines (choice A) may not address the specific changes that led to the plateau. Recommending further calorie reduction (choice C) without understanding the current situation could be counterproductive. Instructing the client to record weights weekly (choice D) could be helpful, but understanding changes first is crucial.