Deck 68: Managing Care for the Adult Patient With Obesity

Question 1

The nurse correlates an increased risk of obesity in the patient with which endocrine disorder?
1)Addison's disease
2)Cushing's disease
3)Hyperparathyroidism
4)Hyperthyroidism

Answer 1

2

Question 2

Which finding in the patient's medical record would cause the nurse to question a prescription for an anorectic medication?
1)History of hypertension
2)History of hyponatremia
3)History of hyperglycemia
4)History of hypothyroidism

Answer 2

1

Question 3

The nurse incorporates information about which hormone that impacts satiety in an educational session about obesity?
1)Leptin
2)Estrogen
3)Testosterone
4)Thyroid hormone

Answer 3

1

Question 4

In administering an anorexigenic agent to a patient being treated for class 3 obesity, the nurse correlates the effectiveness of this medication to which mechanism of action?
1)Increases metabolism
2)Blocks fat absorption
3)Decreases appetite
4)Facilitates fat excretion through the bowel

Question 5

The nurse is planning care for a patient based on the National Institutes of Health (NIH) classification of body weight. Which body mass index (BMI) indicates the patient is diagnosed with class 3 extreme obesity?
1)27.7
2)30.9
3)35.3
4)40.1

Question 6

Which body mass index (BMI) calculated during the patient's physical assessment indicates that bariatric surgery is an option for weight loss?
1)37
2)38
3)39
4)40

Question 7

Which medication, prescribed for weight loss, requires information regarding loose and oily stools in the patient teaching session initiated by the nurse?
1)Orlistat
2)Lorcaserin
3)Metformin
4)Phentermine

Question 8

Which is a goal of Healthy People 2020 that relates to nutrition education that the nurse provides to patients?
1)An increase in bariatric surgery
2)An overall decrease in body mass index
3)The maintenance of healthy body weight
4)The promotion of carbohydrate-restricting diets

Question 9

Which pharmacological therapy for weight loss can only be administered for 12 weeks when prescribed to a patient for weight loss?
1)Orlistat
2)Lorcaserin
3)Metformin
4)Phentermine

Question 10

The nurse is planning care for a patient based on the National Institutes of Health (NIH) classification of body weight. Which body mass index (BMI) indicates the patient is overweight?
1)17.8
2)24.5
3)27.7
4)30.9

Question 11

Which statement by the patient scheduled for Roux-en-Y gastric bypass (RYGB) indicates the need for further teaching?
1)"This procedure involves the creation of a pouch."
2)"There are less complications with this procedure."
3)"This procedure leads to decreased absorption of food."
4)"Part of my small intestine will be removed."

Question 12

Which behavioral therapy does the nurse include in a teaching session for an obese patient who is attempting weight loss?
1)Food logs
2)Phentermine
3)Aerobic exercise
4)Calorie reduction

Question 13

The nurse correlates that adult patients aged 45 to 64 with high body mass index (BMI) have a premature death of how many years, even without other cardiovascular diseases?
1)5 years
2)7 years
3)10 years
4)12 years

Question 14

In reviewing the history of a patient who is interested in treatment for obesity with phendimetrazine (Bontril PDM), which finding requires further evaluation by the healthcare provider?
1)Hyperthyroidism
2)Hyperparathyroidism
3)Adrenal insufficiency
4)Cushing's disease

Question 15

The nurse correlates an increased risk for obesity in the patient being treated medically for which disorder?
1)Urinary tract infection
2)Hypothyroidism
3)Seizure disorder
4)Chronic pain

Question 16

Which prescription weight loss medication requires the patient to have a pregnancy test on a monthly basis?
1)Orlistat
2)Lorcaserin
3)Metformin
4)Phentermine

Question 17

Which statement by the patient being instructed about calorie reduction diet therapy to treat obesity indicates the need for further teaching?
1)"I should reduce my calorie intake 2,000 calories per week."
2)"I will reduce my calorie intake with the goal of a 1 to 2 lbs. loss each week."
3)"If a very-low-calorie diet is recommended, I will be supervised by my healthcare provider."
4)"My goal is to engage in 30 minutes of moderate-intensity exercise most days of the week."

Question 18

Which is an evidence-based benefit to bariatric surgery that the nurse includes in a teaching session for an obese patient who is considering this intervention?
1)"This surgery will assist in the management of your hypothyroidism."
2)"Research shows that you will live longer if you consent to this procedure."
3)"You will lose weight at a slower pace; however, the weight loss is longer lasting."
4)"Many people experience an improved quality of life and better management of diabetes mellitus."

Question 19

The nurse includes teaching about the risk of which health problems in an educational session for patients who are obese?
1)Osteoporosis
2)Acute kidney injury
3)Coronary artery disease
4)Type 1 diabetes mellitus

Question 20

The nurse assesses for which environmental factor that increases an individual's risk for obesity?
1)Access to high-calorie, high-fat food
2)Physical inactivity
3)Leptin mutation
4)Genetic polymorphisms

Question 21

The nurse monitors for which side effects in the patient taking liraglutide (Saxenda) for the treatment for obesity? Select all that apply.
1)Fatigue
2)Headache
3)Palpitations
4)Diarrhea
5)Increased resting heart rate

Question 22

The nurse provides discharge instructions for a patient who had bariatric surgery for weight loss. Which patient statement indicates the need for further teaching?
1)"I won't empty my drain until it is full to decrease risk of infection."
2)"I will continue to use my incentive spirometer to decrease my risk for pneumonia."
3)"I won't lift anything that is heavier than recommended to decrease my risk of a hernia."
4)"I will be sure to walk around as much as I am able to decrease my risk for a blood clot."

Question 23

What is the priority safety intervention when providing care to a patient who is 8 hours postoperative after bariatric surgery?
1)Monitoring for flatus
2)Repositioning for comfort
3)Advancing to a clear liquid diet
4)Assessing the nasogastric tube for patency

Question 24

Which long-term complication of bariatric surgery does the nurse include in the teaching session for a patient who is considering this procedure for weight loss?
1)Anemia
2)Infection
3)Anastomosis leak
4)Pulmonary embolism

Question 25

The nurse monitors the patient with obesity for which comorbidities? Select all that apply.
1)Heart disease
2)Hypothyroidism
3)Acute kidney disease
4)Infertility issues
5)Type 2 diabetes mellitus

Question 26

In providing care to a patient who had bariatric surgery 1 day ago, which clinical manifestation requires immediate notification of the healthcare provider?
1)Nausea
2)Anemia
3)Vomiting
4)Tachycardia

Question 27

The nurse correlates which medications in a patient's health history as obesogenic medications? Select all that apply.
1)Antidiuretics
2)Antihypertensives
3)Corticosteroids
4)NSAIDs
5)Hypoglycemic agents

Question 28

The nurse is assessing an adult patient who is postoperative for bariatric surgery. Which assessment requires an immediate intervention by the nurse?
1)Increased flatus
2)Increased abdominal back pain
3)Decreased urine output
4)Decreased bowel sounds

Question 29

The nurse monitors for which clinical manifestations in the patient experiencing dumping syndrome after bariatric surgery? Select all that apply.
1)Nausea
2)Emesis
3)Fatigue
4)Diarrhea
5)Absent bowel sounds

Question 30

The nurse correlates an increased risk for which disease processes in the female patient with a waist circumference of 48 inches? Select all that apply.
1)Chronic lung disease
2)Osteoarthritis
3)Type 2 diabetes mellitus
4)Heart disease
5)High blood pressure