Question 1

The client has requested a prescription for sibutramine (Meridia)from the nurse practitioner.Which pre-existing health condition(s), if present, would make this medication contraindicated? Select all that apply.

Accepted Answer

Sibutramine (Meridia) is contraindicated in patients with a history of bulimia and anorexia nervosa due to its appetite suppressant effects, in those with heart disease and dysrhythmias because it can increase heart rate and blood pressure, in patients taking MAOIs due to the risk of serotonin syndrome, and in those with hepatic impairment as it may exacerbate liver function issues. BMI greater than 40 is not a contraindication; in fact, sibutramine is used for weight loss in obese patients.

Question 2

Orlistat (Alli)is prescribed for each of the following clients.A nurse should question the order for which client?

Accepted Answer

Orlistat (Alli) is a weight loss medication that works by inhibiting the absorption of dietary fats. It is generally safe for use in individuals with conditions like type II diabetes, asthma, and presbyopia. However, it should be used with caution in patients with hypothyroidism, as weight changes can affect thyroid hormone levels and medication needs. Therefore, a nurse should question the prescription for a client with hypothyroidism.

Question 3

Which lifestyle strategy would the nurse teach the client to promote healthy weight reduction?

Accepted Answer

Reducing calorie intake while increasing physical activity is a balanced approach to achieving healthy weight loss. It addresses both sides of the energy balance equation: calories in versus calories out.

Question 4

The nurse is assessing the body mass index of a 43-year-old sedentary male using a BMI calculation graph.The client is 5' 7", and weighs 180 pounds.The nurse determine that the client's BMI indicates:

Accepted Answer

The answer of The nurse is assessing the body mass...

Question 5

Which of these statements, if made by a client, would indicate that further instruction is needed about orlistat (Alli)?

Accepted Answer

Orlistat (Alli) is a weight loss medication that works by inhibiting the absorption of dietary fats in the intestines, not by suppressing appetite or increasing metabolism. Therefore, it is important for clients to understand that they cannot eat as much as they want and still lose weight; a low-calorie, low-fat diet is recommended for the medication to be effective. Choices B, C, and D do not pertain to the known side effects or instructions for taking orlistat.

Question 6

The school health nurse is discussing weight loss agents with a group of college women at the health promotion session.Which of the following concepts would the nurse include in the teaching? Select all that apply.

Accepted Answer

The answer of The school health nurse is discussing weight...

Question 7

A client has been on weight-reduction diet for two months.The nurse would anticipate that the total weight loss for this time frame should be:

Accepted Answer

A healthy weight loss rate is about 1-2 pounds per week. Over two months (approximately 8 weeks), a total weight loss of 16 pounds is achievable and aligns with recommended guidelines.

Question 8

The nurse knows that what hormone that increases appetite and food consumption is secreted by the hypothalamus?

Accepted Answer

Neuropeptide Y (NPY) is a hormone secreted by the hypothalamus that is known to increase appetite and food consumption. It plays a significant role in regulating energy balance by stimulating the urge to eat.

Question 9

The client who is taking sibutramine (Meridia)is experiencing side effects related to the medication.The nurse would assess the client for which of the following?

Accepted Answer

Sibutramine (Meridia) is known to cause side effects such as headache, constipation, and xerostomia (dry mouth). These are common side effects associated with its use as an appetite suppressant and its effects on neurotransmitters in the brain.

Question 10

The school nurse has prepared a learning activity for a high school health promotion course.To assess the class understanding, the nurse instructs the students to select the correct statements that apply to the brain's role in regulating appetite.Which of the following are correct? Select all that apply.

Accepted Answer

- B) Leptin is a hormone that signals satiety (fullness) to the brain, and resistance to its effects is a factor in obesity.- E) Neuropeptide Y (NPY) in the hypothalamus plays a key role in regulating appetite, with higher levels promoting increased food intake.

Question 11

The client who has self-initiated a low-carbohydrate diet asks the nurse "Why do carbohydrates cause obesity?" Which statement is the nurse's best response? "Carbohydrates in the diet:

Accepted Answer

The answer of The client who has self-initiated a low-carbohydrate...

Question 12

The parent of an adolescent female tells the nurse, "I am concerned about my daughter's weight gain but she doesn't look obese." Select the best response to this statement provided by the nurse.

Accepted Answer

The ideal body weight indeed varies depending on factors such as gender, height, and general build. This response acknowledges the complexity of body weight considerations without making unfounded generalizations or setting unrealistic monitoring expectations.

Question 13

The nurse is teaching at a health promotion fair held in one of the local community centers when one of the participants asks, "What are the most important factors leading to obesity" Which statement is the nurse's best response?

Accepted Answer

Physical activity and caloric intake are the most important factors leading to obesity, as they directly influence energy balance and weight gain.

Question 14

The client with morbid obesity asks the nurse why leptin is not used for weight reduction.Which response would be most appropriate for the nurse?

Accepted Answer

Leptin is a hormone involved in regulating energy balance and body weight. In individuals with obesity, there is often a high level of leptin due to the increased fat mass; however, their bodies become resistant to leptin's effects, similar to how individuals with type 2 diabetes become insulin resistant. This resistance means that despite having high levels of leptin, the regulatory effect on hunger and metabolism is diminished, making leptin supplementation ineffective for weight reduction in obese individuals.

Question 15

The nurse knows that due to its secretion by adipocytes, binding of leptin signals the hypothalamus to ________________ appetite.

Accepted Answer

Leptin is a hormone secreted by adipocytes (fat cells) that signals the hypothalamus in the brain to decrease appetite. It plays a key role in regulating energy balance by inhibiting hunger, which in turn reduces food intake and promotes weight loss.

Question 16

Which statement made by the client about taking phenylpropanolamine indicates that further teaching is necessary?

Accepted Answer

Phenylpropanolamine was indeed removed from the market due to an increased risk of hemorrhagic stroke, especially in women, and was not intended for casual weight loss use. Its primary uses were in over-the-counter decongestants and weight loss products before its discontinuation. Taking it occasionally for weight loss is not safe or recommended, indicating a misunderstanding or lack of knowledge about the drug's risks and appropriate use.

Question 17

The home health nurse is discussing nutrition with a client when asked "What do you think of the new grapefruit-only diets that have become popular?" The nurse should:

Accepted Answer

Grapefruit-only diets are considered fad diets, which are not sustainable or balanced. The best advice is to guide clients towards eating a balanced diet that includes a variety of nutrients from different food sources. This approach promotes overall health and is more likely to lead to long-term weight management success.

Question 18

The nurse determines that the client understands an important principle of weight reduction when the client makes which of the following statements?

Accepted Answer

Obesity is indeed associated with several health risks, including diabetes and hypertension. This understanding is crucial for recognizing the importance of weight management in promoting overall health.

Question 19

The client who has a body mass index of 48 is diagnosed with diabetes.Which statement indicates that the client understands the relationship between diabetes and obesity?

Accepted Answer

Obesity is a significant risk factor for the development of type 2 diabetes, and weight reduction can improve insulin sensitivity and glycemic control, potentially reducing the need for medication or the severity of diabetes.

Question 20

The nurse is discussing orlistat (Alli)with a group of women at a community center when one of the participants asks, "What side effects are associated with this drug?" The nurse discusses:

Accepted Answer

Orlistat (Alli) is known to cause gastrointestinal side effects due to its mechanism of action, which blocks the absorption of fats in the diet. This can lead to flatus with oily stool discharge among other related side effects.

Quiz 64: Weight Reduction Strategies and the Pharmacotherapy of Obesity

The client has requested a prescription for sibutramine (Meridia) from the nurse practitioner.Which pre-existing health condition(s) , if present, would make this medication contraindicated? Select all that apply.

Orlistat (Alli) is prescribed for each of the following clients.A nurse should question the order for which client?