Question 1

You are caring for a 57-year-old female patient who feels she is slightly overweight and wants assistance to develop a plan to reduce her weight. In order to assist her, you must first calculate her body mass index (BMI). The patient weighs 130 pounds (59.09 kg) and is 5 feet 2 inches tall (1.57 meters). Round to nearest whole number.________

Accepted Answer

24
Rationale : Formula: [weight in kg] divided by [height in meters] × [height in meters].
59. 09 divided by 1.57 ×1.57 = 23.972574 [1 inch equals 0.0254 meters]

Question 2

The nurse, planning an educational program for young African American women regarding nutrition, should include which of the following concepts related to body image?

Accepted Answer

African American culture has traditionally valued women with curvaceous bodies, so this concept would be important to include in the educational program. Option B is not accurate as studies show that African American women tend to have a more positive view of a larger body size compared to other races. Option C is not directly related to body image and option D is not accurate as there are cultural differences in images of attractiveness between African American and Caucasian cultures.

Question 3

With which of the following should the nurse respond to a patient with a body mass index of 33 kg/m² who states that she feels fine and questions the need to lose weight?

Accepted Answer

A BMI of 33 kg/m² is classified as obesity, which can increase the risk of various health issues. Encouraging the patient to make changes to maintain health is a supportive and proactive response.

Question 4

A patient, planning to begin a weight loss diet, asks the nurse for suggestions as to how to balance her eating. What information should the nurse provide to the patient?

Accepted Answer

The recommended daily calorie intake for weight loss varies based on an individual's weight, height, and activity level. However, generally, a 1,000-1,500 calorie diet is recommended for women and a 1,500-1,800 calorie diet is recommended for men. Additionally, less than 15% of the total calories should come from fat in order to achieve weight loss. This will help the patient achieve a healthy balance of macronutrients, while still reducing overall calorie intake.

Question 5

A patient asks if she is obese since she is 5 feet 5 inches tall and weighs 144 lbs. With which of the following statements should the nurse respond to this patient?

Accepted Answer

Using the Body Mass Index (BMI) calculation, a person who is 5 feet 5 inches tall (65 inches) and weighs 144 pounds would have a BMI of approximately 23.96 (144 lbs / (65 inches x 65 inches) x 703). This falls within the "normal" weight range according to the BMI scale, which categorizes a BMI between 18.5 and 24.9 as normal. Therefore, the patient is not obese or overweight but is considered to have a normal weight for her height.

Question 6

When developing the plan of care for a patient diagnosed with anorexia nervosa, which of the following nursing diagnoses has the highest priority?

Accepted Answer

The priority for a patient with anorexia nervosa is to address the underlying nutritional deficiency and promote weight restoration. This is critical for the patient's physical well-being and must be addressed before addressing other issues such as self-esteem, powerlessness, and body image.

Question 7

Anorexia nervosa is characterized by which of the following?  Select all that apply.

Accepted Answer

The answer of Anorexia nervosa is characterized by which of...

Question 8

Obesity is a significant risk factor in the development of which of the following disorders?  Select all that apply.

Accepted Answer

Obesity is a well-known risk factor for cardiovascular diseases, obstructive sleep apnea, and diabetes mellitus type 2. However, it is not a risk factor for hypotension and renal insufficiency.

Question 9

In patients suspected of having protein calorie malnutrition (PCM) with a body mass index of less than 18-20, the nurse should ensure that which of the following laboratory tests are ordered?  Select all that apply.

Accepted Answer

The answer of In patients suspected of having protein calorie...

Question 10

After providing education to a patient regarding the use of orlistat (Xenical), which of the following statements by the patient indicates the need for additional teaching?

Accepted Answer

Orlistat should be taken three times a day with each main meal, not 30 minutes before eating.

Question 11

The mother of a teen is concerned that her daughter's nutritional status is compromised since the daughter has an increased interest in losing weight, weighs herself several times each day, and at times ingests large amounts of food. The daughter has not lost or gained much weight but wonders if her daughter has anorexia nervosa. With which of the following statements should the nurse respond to this mother?

Accepted Answer

The described behaviors, such as an increased interest in losing weight, frequent weighing, and episodes of ingesting large amounts of food without significant weight loss or gain, are more consistent with bulimia nervosa than anorexia nervosa, binge-eating disorder, or a metabolic disorder. Bulimia nervosa involves cycles of binge eating followed by purging or other behaviors to prevent weight gain, and a preoccupation with body image and weight.

Question 12

After following a structured diet, a patient diagnosed with diabetes mellitus is surprised to learn that his blood glucose levels have decreased and oral medications are no longer required. Which of the following should the nurse explain to the patient regarding the impact of diet on diabetes management?

Accepted Answer

A structured diet can lead to weight loss, which decreases insulin resistance, meaning less insulin is needed to maintain normal blood glucose levels.

Question 13

While completing the health history, the nurse learns that a patient often eats excessive amounts of food when alone, not hungry, and has intense feelings of self-disgust afterwards. The patient denies purging after these episodes. The nurse realizes that which of the following is a potential complication of this behavior?

Accepted Answer

The described behavior is indicative of binge eating disorder, which involves consuming large amounts of food without subsequent purging. This can lead to obesity and associated complications, such as type 2 diabetes mellitus, due to the body's impaired ability to manage blood sugar levels effectively.

Question 14

Which of the following suggestions might assist a patient adhere to strategies to aid in weight reduction?

Accepted Answer

Setting aside small nonfood rewards can help motivate a patient to stick to their weight reduction strategies.

Answer: C 
 Drinking water or a diet beverage after eating can help promote feelings of fullness and prevent overeating.

Answer: D 
 Allowing enough time to fully enjoy a meal can help prevent overeating and promote satisfaction with smaller portions. Eating alone (option B) may not be effective for everyone and could potentially lead to feelings of isolation or loneliness.

Question 15

In the following diagram, please identify where the end of the parenteral catheter should be placed to correctly administer hyperalimentation through a central subclavian line.

Accepted Answer

The answer of In the following diagram, please identify where...

Question 16

Enteral nutrition or tube feedings may be used to meet calorie and protein needs in patients who are unable to consume adequate solid food by mouth. When getting ready to do a tube feeding what actions should the nurse take? Rank the actions in order.  Click and drag the options below to move them up or down.
A)Check the doctor's order for correct solution and volume to be administered.
B)Attach the tubing for the feeding pump.
C)Mix the prescribed tube feeding with appropriate amounts of water.
D)Check tube placement by aspirating contents and checking the pH.
E)Set alarms on the feeding pump, start pump.
F)Elevate the head of bed 30 degrees during the feeding.

Accepted Answer

The answer of Enteral nutrition or tube feedings may be...

Question 17

When planning care for a teen diagnosed with anorexia nervosa, which of the following should the nurse include?

Accepted Answer

The answer of When planning care for a teen diagnosed...

Question 18

A patient scheduled for bariatric surgery is discussing postoperative care with the nurse. Which of the following statements indicates the patient understands the plan of care?

Accepted Answer

The answer of A patient scheduled for bariatric surgery is...

Question 19

An obese patient is interested in using the appetite suppressant phentermine to assist with a weight loss program. Which of the following factors in the patient's health history might restrict the patient's ability to take the medication?

Accepted Answer

Frequent use of alcohol can interact with phentermine and increase the risk of side effects, such as dizziness, drowsiness, and impaired coordination.

Question 20

A patient, desiring to begin a very-low-calorie diet (VLCD) for rapid weight reduction, is concerned about the safety of the diet. What information should the nurse provide to the patient?

Accepted Answer

The answer of A patient, desiring to begin a very-low-calorie...

Quiz 22: Nursing Care of Patients with Nutritional Disorders

The nurse, planning an educational program for young African American women regarding nutrition, should include which of the following concepts related to body image?

With which of the following should the nurse respond to a patient with a body mass index of 33 kg/m² who states that she feels fine and questions the need to lose weight?

A patient, planning to begin a weight loss diet, asks the nurse for suggestions as to how to balance her eating. What information should the nurse provide to the patient?

A patient asks if she is obese since she is 5 feet 5 inches tall and weighs 144 lbs. With which of the following statements should the nurse respond to this patient?

When developing the plan of care for a patient diagnosed with anorexia nervosa, which of the following nursing diagnoses has the highest priority?

Anorexia nervosa is characterized by which of the following? Select all that apply.

Obesity is a significant risk factor in the development of which of the following disorders? Select all that apply.

In patients suspected of having protein calorie malnutrition (PCM) with a body mass index of less than 18-20, the nurse should ensure that which of the following laboratory tests are ordered? Select all that apply.

After providing education to a patient regarding the use of orlistat (Xenical) , which of the following statements by the patient indicates the need for additional teaching?

Which of the following suggestions might assist a patient adhere to strategies to aid in weight reduction?

In the following diagram, please identify where the end of the parenteral catheter should be placed to correctly administer hyperalimentation through a central subclavian line.

When planning care for a teen diagnosed with anorexia nervosa, which of the following should the nurse include?

A patient scheduled for bariatric surgery is discussing postoperative care with the nurse. Which of the following statements indicates the patient understands the plan of care?

An obese patient is interested in using the appetite suppressant phentermine to assist with a weight loss program. Which of the following factors in the patient's health history might restrict the patient's ability to take the medication?

A patient, desiring to begin a very-low-calorie diet (VLCD) for rapid weight reduction, is concerned about the safety of the diet. What information should the nurse provide to the patient?

Quiz 22: Nursing Care of Patients with Nutritional Disorders

The nurse, planning an educational program for young African American women regarding nutrition, should include which of the following concepts related to body image?

With which of the following should the nurse respond to a patient with a body mass index of 33 kg/m2 who states that she feels fine and questions the need to lose weight?

A patient, planning to begin a weight loss diet, asks the nurse for suggestions as to how to balance her eating. What information should the nurse provide to the patient?

A patient asks if she is obese since she is 5 feet 5 inches tall and weighs 144 lbs. With which of the following statements should the nurse respond to this patient?

When developing the plan of care for a patient diagnosed with anorexia nervosa, which of the following nursing diagnoses has the highest priority?

Anorexia nervosa is characterized by which of the following? Select all that apply.

Obesity is a significant risk factor in the development of which of the following disorders? Select all that apply.

In patients suspected of having protein calorie malnutrition (PCM) with a body mass index of less than 18-20, the nurse should ensure that which of the following laboratory tests are ordered? Select all that apply.

After providing education to a patient regarding the use of orlistat (Xenical) , which of the following statements by the patient indicates the need for additional teaching?

Which of the following suggestions might assist a patient adhere to strategies to aid in weight reduction?

In the following diagram, please identify where the end of the parenteral catheter should be placed to correctly administer hyperalimentation through a central subclavian line.

When planning care for a teen diagnosed with anorexia nervosa, which of the following should the nurse include?

A patient scheduled for bariatric surgery is discussing postoperative care with the nurse. Which of the following statements indicates the patient understands the plan of care?

An obese patient is interested in using the appetite suppressant phentermine to assist with a weight loss program. Which of the following factors in the patient's health history might restrict the patient's ability to take the medication?

A patient, desiring to begin a very-low-calorie diet (VLCD) for rapid weight reduction, is concerned about the safety of the diet. What information should the nurse provide to the patient?

With which of the following should the nurse respond to a patient with a body mass index of 33 kg/m² who states that she feels fine and questions the need to lose weight?