321 Exam 3 - Ch 48: Assessment/Management of Pts with Obesity
A client weighs 215 lbs and is 5' 8" tall. What would the nurse calculate this client's body mass index (BMI) as being?
32.7
A nurse epidemiologist examines the overall decrease in life expectancy related to obesity. What finding is true?
6-20 year decrease in overall life expectancy for those with obesity
What statement best describes a client with severe or extreme obesity?
BMI >40 kg/m2
A client with newly diagnosed hypertension asks what to do to decrease the risk for related cardiovascular problems. Which risk factor is not modifiable by the client?
age
A client comes to the emergency department complaining of pain in the right leg. When obtaining the history, the nurse learns that the client has a history of obesity and hypertension. Based on this information the nurse anticipates the client having which musculoskeletal disorder?
degenerative joint disease
A client with obesity is prescribed orlistat for weight loss. The client asks the nurse, "I understand the medication prevents digestion of fat, but what happens if I eat fat?" What is the nurse's best response?
fat is passed in your stools
A nurse is educating a community group about coronary artery disease. One member asks about how to avoid coronary artery disease. Which of the following items are considered modifiable risk factors for coronary artery disease? Choose all that apply.
hyperlipidemia, obesity, tobacco use
A nurse cares for a client who is obese. The health care provider prescribes orlistat in an effort to help client lose weight, along with diet and exercise. When teaching the client about this medication, what will the nurse include?
it binds with enzymes to help prevent digestion of fat
A nurse cares for a client with obesity who has type 2 diabetes. Which medication does the nurse recognize may assist in weight loss and is also approved to treat type 2 diabetes?
liraglutide
A nurse is preparing a presentation for a local community group addressing the influences on health care delivery. Which of the following would the nurse include in presentation when describing disease patterns?
obesity along with conditions associated with it has become a major health concern
A nurse teaches a client with obesity about the various medication options for the treatment of obesity. Which medication will the nurse include when teaching the client about the class of medications that stimulate noradrenergic receptors?
phentermine
A nurse is caring for a client with obesity and diabetes after abdominal surgery. What is the client at increased risk for?
wound dehiscence
A nurse cares for a client who has secondary obesity. Which condition is the most likely to result in secondary obesity?
cushings disease
A nurse cares for a client who is post op bariatric surgery. Which position will the nurse place the client in order to best promote comfort?
low fowlers
A client with obesity is diagnosed with type 2 diabetes. In order to promote weight loss in the client and aid in glucose management, which medication will the nurse anticipate the health care provider ordering?
metformin
The client with osteoarthritis is seen in the clinic. Which assessment finding indicates the client is having difficulty implementing self-care?
weight gain of 5 lbs
A nurse is providing discharge instruction for a client who is postoperative bariatric surgery. What statement will the nurse include when providing teaching aimed at decreasing the risk of gastric ulcers?
avoid taking non-steroidal anti-inflammatory drugs
The nurse is working with a client who has difficulty controlling her blood sugar. The overweight client does not adhere to a low-calorie diet and forgets to take medications and check her blood glucose level. The client's glycohemoglobin is 8.5%. When establishing a goal for the client, the nurse first
collaborates with the client to establish an agreed-upon goal
Which of the following dietary guidelines should be followed following bariatric surgery? Select all that apply.
include 2 protein snacks per day, eat slowly, eat 3 meals per day
A nurse cares for a female client of childbearing age who will undergo bariatric surgery. When teaching the client about precautions after surgery, which teaching will the nurse include that is specific to this population?
you should avoid pregnancy for at least 18 months after surgery