Chapter 48: Assessment and Management of Patients with Obesity 2
Hypertonic food releases metabolic peptides.
A client who is post op from bariatric surgery experiences dumping syndrome. What is the nurse's understanding of the cause of this condition?
Rapid gastric dumping
A client who is postoperative from bariatric surgery reports foul-smelling, fatty stools. What is the nurse's understanding of the primary reason for this finding?
How to empty the drain How to measure the drainage amount Recording drainage amount When to contact the health care provider
A client who is postoperative open RYGB bariatric surgery is scheduled for discharge and will have a Jackson-Pratt drain to care for while at home. Which teaching will the nurse include specific to this? Select all that apply.
Osteoarthritis
A client with obesity reports pain in the joints. Which musculoskeletal condition related to obesity does the nurse suspect the client has?
includes an incremental goal of 1-2 pound weight loss this week
The nurse establishes a learning contract with an overweight client. The contract is best if it
35 kg/m2
A nurse caring for adults with obesity recognizes that obesity is classified based on BMI. Which BMI does the nurse recognize as Class II obesity?
High intensity
A health care provider recommends behavior interventions for a client with obesity. What does the nurse understand is most effective behavioral intervention for clients with obesity?
"Yes, your BMI and chronic condition meets the criteria for bariatric surgery."
A nurse cares for a client with a BMI of 36 kg/m2 and nonalcoholic fatty liver disease. The client asks the nurse if he is a candidate for bariatric surgery. How should the nurse respond to the client?
Gabapentin
A nurse cares for a client with obesity. Which medication that the client takes may be contributing to the client's obesity?
"You should avoid pregnancy for at least 18 months after surgery."
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?
Increased adipose tissue decreases the supply of blood, oxygen, and nutrients to peripheral tissue. Skin folds are associated with more moisture and friction.
A nurse caring for clients with obesity understands these clients are at increased risk for developing pressure ulcers. What does the nurse recognize increases the client's risk for developing pressure ulcers? Select all that apply.
"Avoid taking non-steroidal anti-inflammatory drugs."
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?
23
A nurse is reviewing the medical records of several patients and their risk for health problems. The nurse determines that the patient with which body mass index (BMI) would have the lowest risk?
"Older adults have a greater prevalence of obesity in comparison to the general population."
A nurse prepares community teaching on healthy lifestyle modifications to a group of older adults. When discussing obesity rates of older adults in comparison with the rest of the population, what will the nurse include?
Over time, we have become efficient in food storage and deposition of fat stores.
A nurse researcher studies the pathophysiology and etiology of obesity. What does the nurse discover is true regarding the "thrify gene" theory of obesity?
$147 billion
A nurse researches the cost and financial impact of obesity in America. What is the annual health care cost tied to obesity?
"This is an expected finding with this medication."
A client with obesity is prescribed lorcaserin for weight loss. The client reports dry mouth. What is the nurse's best response?
Restricts the client's ability to eat.
A nurse works in a bariatric clinic and cares for client with obesity who will or have undergone bariatric surgery. What is the nurse's understanding of how the procedure works?
Diabetes mellitus is more common in Hispanics and Blacks than in Whites.
An obese Hispanic client, age 65, is diagnosed with type 2 diabetes. Which statement about diabetes mellitus is true?
Manual compression and prophylactic anticoagulation
A nurse is planning care for a client who will be arriving to the unit postoperatively from bariatric surgery. In an effort to decrease the risk of venous thromboembolism (VTE), which health care provider orders does the nurse anticipate?