Question 1

What is the basal metabolic rate (BMR) for a 28-year-old man who weighs 65 kg and is 170 cm tall?

Accepted Answer

The BMR can be calculated using the Harris-Benedict equation for men: BMR = 88.362 + (13.397 x weight in kg) + (4.799 x height in cm) - (5.677 x age in years). For a 28-year-old man weighing 65 kg and 170 cm tall, the BMR is approximately 1,616 calories/day.

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?

Accepted Answer

Niacin deficiency can lead to a condition known as pellagra, which is characterized by dermatitis, diarrhea, and dementia. The dermatitis often appears in areas of the skin that are exposed to sunlight, leading to a pigmented rash.

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?

Accepted Answer

A,B,E

Question 4

Which statements are true with regard to liposuction?

Accepted Answer

The answer of Which statements are true with regard to...

Question 5

According to the United States Department of Agriculture (USDA), what is the recommended daily allowance for potassium consumption?

Accepted Answer

The USDA recommends a daily potassium intake of about 3,500 mg for adults. This recommendation is based on the nutrient's importance in maintaining proper heart function, muscle contraction, and fluid balance.

Question 6

What percentage of body fat is considered to be acceptable in women?

Accepted Answer

The acceptable range of body fat for women is generally considered to be 25% to 31%. This range is considered healthy and normal for adult women.

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?

Accepted Answer

The answer of A nurse is explaining about the risks...

Question 8

According to the United States Department of Agriculture (USDA), what is the recommended daily allowance for calcium consumption?

Accepted Answer

The recommended daily allowance for calcium consumption according to the USDA is 1000 mg, so choice D is the best choice.

Question 9

What is the lean body mass of a man whose weight is 164 lbs and body fat is 22%?

Accepted Answer

Lean body mass is the weight of everything in the body besides fat. To calculate lean body mass, we need to subtract the weight of body fat from the person's weight. 
Body fat weight = 164 lbs * 0.22 = 36.08 lbs 
Lean body mass = 164 lbs - 36.08 lbs = 127.92 lbs, which rounds up to 128 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?

Accepted Answer

The client's desire for perfection and success in academics, along with severe dietary restrictions, suggest symptoms of anorexia nervosa. The social isolation and emotional traits also fit with this 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?

Accepted Answer

In gastric bypass surgery, the jejunum is usually cut and connected to the newly-created pouch in the superior portion of the stomach. This is because the jejunum is the middle portion of the small intestine and has a large surface area for absorption of nutrients, which is important for maintaining adequate nutrition after the surgery. Cutting the duodenum, the first part of the small intestine, may result in complications such as bile reflux and malabsorption. The omentum and subcutaneous tissue are not part of the small intestine and do not need to be cut during this surgery.

Question 12

What is the percentage of body fat for a man who is considered to be obese?

Accepted Answer

According to the American Council on Exercise, men who have a body fat percentage greater than 25% are considered obese. However, the range of body fat percentage for obesity can vary based on different sources. Generally, a body fat percentage in the range of 30% to 40% is considered to be obese for men.

Question 13

What is the basal metabolic rate (BMR) of a 26-year-old woman who weighs 55 kg and is 163 cm tall?

Accepted Answer

To calculate BMR for women, we use the Harris-Benedict equation:
BMR = 655 + (9.6 x weight in kg) + (1.8 x height in cm) - (4.7 x age in years)
Using the given information, we get:
BMR = 655 + (9.6 x 55) + (1.8 x 163) - (4.7 x 26) = 1,354 calories/day
Therefore, the answer is D, 1,354 calories/day.

Question 14

Which nutrient deficiency causes beriberi?

Accepted Answer

Beriberi is caused by a deficiency in thiamine, which is also known as vitamin B1.

Question 15

A client undergoes gastric bypass surgery and reports symptoms postsurgery. Which symptoms can be interpreted as dumping syndrome?

Accepted Answer

The answer of A client undergoes gastric bypass surgery and...

Question 16

A client is diagnosed with a deficiency of ascorbic acid. Which disease could this condition lead to?

Accepted Answer

Ascorbic acid, also known as vitamin C, is necessary for the synthesis of collagen, which is an important structural component of connective tissue. Deficiency of vitamin C can lead to the development of scurvy, which is a disease that presents with symptoms such as bleeding gums, bruising, and weakness. Megaloblastic anemia is caused by a deficiency of vitamin B12 or folic acid, rickets is caused by a deficiency of vitamin D, and beriberi is caused by a deficiency of thiamine (vitamin B1).

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?

Accepted Answer

The question "Do you engage in self-induced purging?" is most relevant to evaluate if the client is suffering from bulimia nervosa. Laxative and diuretic use, depression, sore throat, and tooth decay are all potential signs of bulimia nervosa, which is characterized by recurrent episodes of binge eating followed by purging behaviors. Constipation is a potential side effect of laxative use but is not specific to bulimia nervosa. Hypertension and intentional starvation are not specific signs of bulimia nervosa.

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?

Accepted Answer

A) Correct - Gastric banding surgery works by limiting the amount of food that can be consumed and producing early satiety, thereby promoting weight loss.
B) Incorrect - While laparoscopic surgery typically carries lower risks than open surgery, it is still a surgical procedure and carries risks.
C) Incorrect - There is always a risk of a suture line rupture with any surgical procedure.
D) Correct - Vomiting is a common side effect of gastric banding surgery.
E) Correct - Rapid gastric emptying is a possible complication of gastric banding surgery.

Question 19

Which vitamin works in close correlation with the parathyroid hormones to regulate the absorption of calcium?

Accepted Answer

Vitamin D works in close correlation with parathyroid hormones to regulate the absorption of calcium.

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?

Accepted Answer

Obesity puts extra stress on the joints, leading to wear and tear and potentially causing pain and inflammation. Excessive weight can also contribute to the development of conditions such as osteoarthritis, which can cause hip and knee pain. Dumping syndrome, hypogonadism, and insulinoma are not typically associated with joint pain.

Quiz 5: Obesity and Nutritional Imbalances