Deck 5: Obesity and Nutritional Imbalances

Question 1

What is the basal metabolic rate (BMR) for a 28-year-old man who weighs 65 kg and is 170 cm tall?
1) 1,616 calories/day
2) 1,166 calories/day
3) 1,161 calories/day
4) 1,661 calories/day

Answer 1

1

Question 2

A client has a pigmented rash on the sun-exposed areas of the client's skin. Which nutrient deficiency results in this condition?
1) Folate
2) Niacin
3) Vitamin A
4) Vitamin K

Answer 2

2

Question 3

A 40-year-old client has a body mass index (BMI) of 45. The client wants to undergo gastric bypass surgery. Which statements of the nurse would justify the advantages of the surgery?
1) Gastric bypass surgery limits the volume of food consumed to one-half to 1 ounce.
2) Gastric bypass surgery is done by surgically restructuring the upper portion of the stomach.
3) Gastric bypass surgery usually results in gradual weight loss over a long period of time.
4) Gastric bypass surgery does not involve any complications or surgical risks.
5) Gastric bypass surgery alters the ability of the stomach and small bowel to absorb calories and nutrients.

Answer 3

1, 2, 5

Question 4

Which statements are true with regard to liposuction?
1) It does not involve the use of an anesthetic.
2) It is a cosmetic procedure.
3) It is associated with high mortality rates.
4) It promotes weight loss by limiting the amount of food that the client consumes.
5) It requires clients to wear compression garments preoperatively.

Question 5

According to the United States Department of Agriculture (USDA), what is the recommended daily allowance for potassium consumption?
1) 20 mg
2) 300 mg
3) 2,400 mg
4) 3,500 mg

Question 6

What percentage of body fat is considered to be acceptable in women?
1) 35% to 40%
2) 25% to 31%
3) 21% to 24%
4) 14% to 20%

Question 7

A nurse is explaining about the risks of dumping syndrome to a client who recently had undergone gastric bypass surgery. Which statements made by the nurse with regard to the risks of dumping syndrome are correct?
1) Dumping syndrome may cause excessive sweating.
2) Dumping syndrome is too severe a complication to be controlled through changes to the diet and eating habits.
3) Dumping syndrome may place the client at risk for hyperglycemia.
4) Dumping syndrome causes a malabsorption of nutrients.
5) Dumping syndrome may cause diarrhea.

Question 8

According to the United States Department of Agriculture (USDA), what is the recommended daily allowance for calcium consumption?
1) 1.7 mg
2) 60 mg
3) 400 mg
4) 1000 mg

Question 9

What is the lean body mass of a man whose weight is 164 lbs and body fat is 22%?
1) 128 lbs
2) 182 lbs
3) 218 lbs
4) 281 lbs

Question 10

A client displays behaviors that involve a desire for perfection and success in academics, and psychiatric characteristics, such as being socially isolated and emotional, and having a severely restricted diet. Which disorder could the client possibly have?
1) Anorexia nervosa
2) Bulimia nervosa
3) Binge eating
4) Purging disorder

Question 11

A client is to undergo gastric bypass surgery. Which part of the intestine should be cut to connect to the newly-created pouch in the superior portion of the stomach?
1) Omentum
2) Jejunum
3) Duodenum
4) Subcutaneous tissue

Question 12

What is the percentage of body fat for a man who is considered to be obese?
1) 30% to 40%
2) 20% to 25%
3) 14% to 17%
4) 6% to 13%

Question 13

What is the basal metabolic rate (BMR) of a 26-year-old woman who weighs 55 kg and is 163 cm tall?
1) 1,345 calories/day
2) 1,543 calories/day
3) 1,453 calories/day
4) 1,354 calories/day

Question 14

Which nutrient deficiency causes beriberi?
1) Thiamine
2) Riboflavin
3) Vitamin B₆
4) Vitamin B₁₂

Question 15

A client undergoes gastric bypass surgery and reports symptoms postsurgery. Which symptoms can be interpreted as dumping syndrome?
1) Rapid food digestion
2) Abdominal cramps
3) Proximal stomach pouch herniation
4) Severe hypotension
5) Diarrhea

Question 16

A client is diagnosed with a deficiency of ascorbic acid. Which disease could this condition lead to?
1) Scurvy
2) Megaloblastic anemia
3) Rickets
4) Beriberi

Question 17

An 18-year-old client, who is within a normal weight range, admits to using laxatives and diuretics. The client displays increased symptoms of depression and reports a sore throat and tooth decay. What question should a nurse ask the client to evaluate if the client is suffering from bulimia nervosa?
1) "Do you engage in self-induced purging?"
2) "Do you suffer from constipation?"
3) "Do you have hypertension?"
4) "Do you have a habit of starving intentionally?"

Question 18

A nurse is explaining about the advantages and disadvantages of gastric banding surgery to a client who is scheduled for the procedure. Which statements made by the nurse with regard to the advantages and disadvantages of gastric banding surgery are correct?
1) Gastric banding surgery promotes weight loss by limiting the amount of food that can be consumed and producing early satiety.
2) Gastric banding surgery is a laparoscopic procedure and does not carry the typical risks associated with surgery.
3) Gastric banding surgery carries no risk of a ruptured suture line.
4) Gastric banding surgery may cause vomiting.
5) Gastric banding surgery carries the risk of rapid gastric emptying.

Question 19

Which vitamin works in close correlation with the parathyroid hormones to regulate the absorption of calcium?
1) Vitamin A
2) Vitamin C
3) Vitamin D
4) Vitamin K

Question 20

A client reports excessive pain in the hips, knees, and joints. Which condition could be the root cause for the development of these symptoms?
1) Dumping syndrome
2) Hypogonadism
3) Insulinoma
4) Obesity

Question 21

A client is diagnosed with obesity as a secondary effect. Which disorder could possibly be caused by obesity?
1) Hypothyroidism
2) Prader-Willi syndrome
3) Polycystic ovarian syndrome
4) Cushing's syndrome
5) Leptin receptor gene mutation at 7q31

Question 22

Which statements are true with regard to free fatty acids?
1) They cause glucose intolerance.
2) They send satiety signals to the brain.
3) They cause cirrhosis.
4) They are created through lipolysis.
5) They cause hypertension.
Completion
Complete each statement.

Question 23

Which statements are true about pharmacological interventions for weight loss?
1) Weight loss medications are very effective.
2) Weight loss is short term.
3) Weight loss medications, such as over-the-counter appetite suppressants, have sympathomimetic side effects.
4) Weight loss medications are indicated for people who have a body mass index (BMI) of 27 or greater with concurrent obesity-related medical problems.
5) Weight loss medications, such as appetite suppressants, are relatively safe and can be bought over the counter without a prescription from a primary health-care provider.

Question 24

A client comes in for a consultation with a bariatric surgeon to inquire about surgical options to lose weight. The client's body mass index (BMI) is checked to see if the client would be a candidate for the bariatric surgery. A nurse records the client's height as 5 feet, 4 inches and weight as 258 pounds. What is the client's BMI? Record your answer to one decimal point. ____________________

Question 25

Which vitamins are fat-soluble?
1) Vitamin A
2) Vitamin B
3) Vitamin C
4) Vitamin D
5) Vitamin E