Chapter 48: Assessment and Management of Patients with Obesity

Tachycardia Dizziness Sweating

A client is diagnosed with dumping syndrome after bariatric surgery. Which findings on the nursing assessment correlate with this diagnosis? Select all that apply.

"Expect to lose 10-35% of total body weight 2 to 3 years postoperatively."

A nurse cares for a client who wants to know more information about bariatric surgery. The client asks the nurse, "What weight loss can I expect?" What is the nurse's best response?

These are less likely to cause dumping syndrome.

A nurse cares for a client who is post op bariatric surgery and the nurse offers the client a sugar-free beverage. What is the primary purpose of offering a sugar-free beverage?

Heart failure Myocardial infarction Hypertension Coronary artery disease

A nurse working in a cardiac health care office notes increased risk of certain cardiac conditions as a result of obesity. Which conditions can be associated with obesity? Select all that apply.

"The stomach is stapled to create a very small pouch and part of the small intestine is rerouted."

A client is scheduled for a Roux-en-Y bariatric surgery. When teaching the client about the surgical procedure, which statement will the nurse use?

It has over 100 times more genes than the human genome.

A nurse geneticist is researching the gut microbiome and its relationship to disease. What is true regarding the microbiome?

"You are not alone in having these feelings."

A client who is 6 months postoperative bariatric surgery tells the nurse, "I hate what my body looks like now. All these skin folds really bother me." What is the nurse's best response?

"Increase your intake of plant-based proteins."

A nurse is caring for a client who will undergo bariatric surgery. Which nutritional recommendation will the nurse include in the client teaching?

32.9

Calculate the BMI of a client who is 180 pounds and is 5 feet 2 inches tall. Round to one decimal point.

Increased adipose tissue Impairment of peripheral blood flow Blood stasis Formation of a thrombus

Place the pathophysiological steps in order of how a client with obesity is at greater risk for venous thromboembolism in comparison to the general population.

Renal insufficiency

A client with obesity is interested in trying olistat for weight loss. Which disease or condition in the client's medical history alert the nurse of potential complications if the client uses this medication?

Fear of eating

A nurse cares for a client who is postoperative bariatric surgery and has experienced frequent episodes of dumping syndrome. The client now reports anorexia. What is the primary reason for the client's report of anorexia?

Bupropion

A nurse cares for a client with obesity who is also diagnosed with depression. Which medication does the nurse expect the health care provider will prescribe, which also aids in weight loss?

Phentermine

A nurse cares for a client with obesity who reports taking "a medication of weight loss" but cannot remember the name of it. The client also reports nervousness and feeling "jittery". Which medication is the client most likely taking?

"Do not drink alcohol while taking this medication."

A nurse cares for an obese client taking phentermine for weight loss. What client teaching will the nurse include when discussing precautions about the medication?

Those with less education are impacted at a greater prevalence of disease. Those with less income are impacted at a greater prevalence of disease.

A nurse examines the socioeconomic impact of obesity among Americans. Which statements does the nurse understand is true? Select all that apply.

"Eat slowly." "Chew your food thoroughly." "Avoid eating tough foods." "Avoid eating overcooked meats."

A nurse is educating a client who will undergo bariatric surgery on methods to prevent dysphagia. What teaching will the nurse include? Select all that apply.

Risk factors that identify the odds of being diagnosed with obesity are not clearly defined. Causes of obesity are complex and multifactorial. Obesity increases the risk of of mortality. Obesity decreases the overall life expectancy.

A nurse researcher examines the risk factors of obesity. Which statements does the nurse find true? Select all that apply.

Both undernutrition and obesity

A nurse researcher is reviewing data obtained from a developing nation on nutrition and metabolism issues facing that country. What is the nurse's understanding of the "double-burden" many developing nations now face?

It impairs normal body function It causes morbidity It has characteristic signs and symptoms

A nurse works in a community clinic that treats clients with obesity. The nurse understands that obesity is considered a disease based on what characteristics? Select all that apply.