Obesity and Diabetes

The nurse instructs the client with diabetes on self-care during days of illness. Which client statement indicates that teaching has been effective? Select all that apply. A. "I will call the doctor if I have vomiting or diarrhea." B. "I will skip my diabetes medication for the day." C. "I will increase my intake of fluids." D. "I will test my blood sugar level every 3 to 4 hours." E. "I will eat soft foods if I cannot tolerate regular food."

A, C, D, E

A nurse teaches a client with obesity on the various types of bariatric surgical procedures. Which procedures will the nurse include when discussing restrictive procedures only? Select all that apply. A. Gastric banding B. Sleeve gastrectomy C. RYGB D. Biliopancreatic diversion with duodenal switch E. Total gastrectomy

A. Gastric banding B. Sleeve gastrectomy

A client who is postoperative bariatric surgery is diagnosed with bile reflux. Which conditions are associated with bile reflux? Select all that apply. A. Gastritis B. Esophagitis C. Pharyngitis D. Laryngitis E. Tonsillitis

A. Gastritis B. Esophagitis

A client with obesity is interested in trying orlistat 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? A. Renal insufficiency B. Diabetes mellitus C. Anemia D. Chronic obstructive pulmonary disease

A. Renal Insufficiency

A 60-year-old client comes to the ED reporting weakness, vision problems, increased thirst, increased urination, and frequent infections that do not seem to heal easily. The physician suspects that the client has diabetes. Which classic symptom should the nurse watch for to confirm the diagnosis of diabetes? A. Fatigue B. Increased hunger C. Dizziness D. Numbness

B. Increased hunger

A nurse teaches a client homecare nutrition expectations who will undergo bariatric surgery. Which foods will the nurse suggest the client keep on hand at home after surgery? Select all that apply. A. Creamy soups B. Pudding C. Yogurt D. Fat-free milk E. Gelatin

B. Pudding D. Fat-free milk E. Gelatin It is important for the nurse to discuss with the client who is undergoing bariatric surgery various food options to consume post operatively. The nurse discusses these prior to surgery so that the client can stock up on these items. Foods such as gelatin, pudding, fat-free milk and sugar-free applesauce are all good choices for the client. Yogurt and creamy soups are too difficult to digest and would not be recommended for the client.

A patient has been newly diagnosed with type 2 diabetes, and the nurse is assisting with the development of a meal plan. What step should be taken into consideration prior to making the meal plan? A. B. Reviewing the patient's diet history to identify eating habits and lifestyle and cultural eating patterns C. D.

B. Reviewing the patient's diet history to identify eating habits and lifestyle and cultural eating patterns

Which of the following medications used for obesity improves cardiovascular disease risk factors in obese patients with metabolic syndrome? A. Acomplia B. Rimonabant C. Orlistat D. Meridia

B. Rimonabant

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? A. "Older adults have a slightly reduced prevalence of obesity in comparison to the general population." B. "Older adults have the same prevalence of obesity in comparison to the general population." C. "Older adults have a slightly higher prevalence of obesity in comparison to the general population." D. "Older adults have a greatly reduced prevalence of obesity in comparison to the general population."

C. "Older adults have a slightly higher prevalence of obesity in comparison to the general population."

The nurse is preparing a presentation for a group of adults at a local community center about diabetes. Which characteristic would the nurse inform the group is associated with type 2 diabetes? A. Onset most common during adolescence B. Less common than type 1 diabetes C. Insulin resistance or insufficient insulin production D. Little relation to prediabetes

C. Insulin resistance or insufficient insulin production

A client has been recently diagnosed with type 2 diabetes, and reports continued weight loss despite increased hunger and food consumption. This condition is called: A. anorexia. C. polyuria. D. polyphagia. E. polydipsia.

C. Polyphagia

When the nurse is caring for a patient with type 1 diabetes, what clinical manifestation would be a priority to closely monitor? A. Hyponatremia B. Ketonuria C. Polyphagia D. Hypoglycemia

D. Hypoglycemia

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

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