Sherpath—obesity

Which patient statement would cause the nurse to further question the patient's goals for a weight-loss program?

"I need to lose weight quickly so that I can fit into my swimming suit."

The nurse is caring for a postoperative bariatric surgery patient. Which patient statement should cause the nurse to provide further discharge education?

"I will be sure to schedule my annual check-up with my health care provider when I get home."

The nurse is helping the patient develop weight-loss goals. Which patient statement should indicate to the nurse that further education is needed?

"I work long hours during the week and do not have time for the gym like I used to."

A patient is prescribed bupropion to assist with a weight-loss program. Which patient statement should indicate a contraindication to the nurse?

"I've been having frequent thoughts about hurting myself."

A patient who is obese verbalizes feelings of frustration after having no weight loss in one week. Which is the nurse's best response?

"It is normal to have a plateau period for a few weeks, and if you continue your weight loss plan, weight will be lost."

The nurse notes that a patient's waist measurement is 100 cm and hip measurement is 80 cm. Calculate the patient's waist-to-hip ratio (WHR) and determine the relevant risk for health complications.

1.25, with an increased risk of developing health complications

A patient weighs 332 lb (151 kg). Which is the nurse's best response when the patient asks which weight they can expect to be at for the two-week weigh-in?

328 lb (149 kg)

Using body mass index (BMI) classification, which patient's height and weight would be considered obese?

5 ft 5 in, 186 lb

The nurse is caring for four post-bariatric surgery patients. Which patient should the nurse assess first?

A patient with a heart rate of 112 bpm and pain radiating to the left shoulder

A patient who has had a bariatric weight-loss procedure reports diarrhea, nausea, and faintness after meals. Which is the appropriate action taken by the nurse to address these symptoms?

Ask the patient about meal habits

The patient is receiving postoperative care for a bariatric weight-loss procedure the day before. Which patient symptom should cause the nurse to contact the health care provider?

Chest pressure

A patient is prescribed orlistat to assist with a weight-loss program. Which lab value would indicate a serious side effect and cause the nurse to contact the health care provider?

Elevated ALT levels

The preoperative nurse is teaching a patient who is scheduled for gastric bypass surgery in two weeks. Which is the most appropriate patient education to provide at this time?

Emphasize the importance of coughing and deep breathing

The nurse is teaching a patient who is having gastric bypass surgery tomorrow. Which information should the nurse address first?

Instruct the patient how to use an incentive spirometer

The nurse is preparing a patient for bariatric weight-loss surgery. Which findings confirm that the patient meets the criteria for bariatric surgery?

The patient with a BMI of 42 kg/m2 and no obesity-related complications

Which patient is at the highest risk for developing obesity?

The patient with a recent knee injury that limits activity