Question 1

Which is an environmental factor that increases an individual's risk for obesity?&#10;A) Automation&#10;B) Hypertension&#10;C) Leptin mutation&#10;D) Genetic polymorphisms&#10;

Accepted Answer

Automation, which has led to decreased physical activity, is an environmental factor that increases an individual's risk for obesity. Hypertension is a medical condition, leptin mutation is a genetic factor, and genetic polymorphisms refer to variations in genes that can affect many aspects of health but are not specifically linked to obesity risk.

Question 2

The nurse is planning care for a patient based on the National Institute of Health (NIH)classification of body weight.Which body mass index (BMI)calculated by the nurse indicates the patient is diagnosed with class 3 extreme obesity?

A) 27.7
B) 30.9
C) 35.3
D) 40.1

Accepted Answer

According to the NIH classification, a BMI of 30.0-34.9 is considered class 1 obesity. The BMI calculated in option D is 30.9, which falls within this range. The other options are not in the obesity range.

Question 3

Which is an evidence-based benefit to bariatric surgery that the nurse should include in a teaching session for an obese patient who is considering this intervention?&#10;A) &#34;This surgery will assist in the management of your hypothyroidism.&#34;&#10;B) &#34;Research shows that you will live longer if you consent to this procedure.&#34;&#10;C) &#34;You will lose weight at a slower pace;however,the weight loss is longer lasting.&#34;&#10;D) &#34;Many people experience an improved quality of life and better management of diabetes mellitus.&#34;&#10;

Accepted Answer

The evidence-based benefit of bariatric surgery that should be included in a teaching session for an obese patient considering this intervention is that many people experience an improved quality of life and better management of diabetes mellitus. While bariatric surgery can have other positive effects on health, such as improving hypertension and sleep apnea, these are not as consistently supported by research as the benefits of improved quality of life and better diabetes management. Option A is incorrect because bariatric surgery does not assist in the management of hypothyroidism. Option B is incorrect because while bariatric surgery may lead to increased lifespan in some cases, this is not as reliable a benefit as the others listed. Option C is incorrect because weight loss after bariatric surgery is typically more rapid than other weight loss interventions, with a higher initial percentage of weight loss, though the long-term maintenance of weight loss is a benefit.

Question 4

Which hormone should the nurse include in a teaching session regarding satiety?&#10;A) Leptin&#10;B) Estrogen&#10;C) Testosterone&#10;D) Progesterone&#10;

Accepted Answer

Leptin is a hormone that is released by adipose tissue (fat cells) and acts on the hypothalamus to suppress appetite and regulate energy balance. It is often referred to as the "satiety hormone" because it helps to promote feelings of fullness and satiety after a meal. Therefore, it is the best hormone to include in a teaching session regarding satiety.

Question 5

Which diet therapy should the nurse include in a teaching session for an obese patient who is attempting weight loss?&#10;A) Food logs&#10;B) Phentermine&#10;C) Aerobic exercise&#10;D) Calorie reduction&#10;

Accepted Answer

Calorie reduction is the most effective diet therapy for weight loss. By reducing caloric intake, the body uses stored fat for energy and weight loss occurs. Food logs may assist in tracking caloric intake, but alone are not the most effective therapy. Phentermine is a medication used as an appetite suppressant, which can be part of a weight loss plan, but is not a diet therapy. Aerobic exercise can aid in weight loss, but alone is not sufficient as a diet therapy.

Question 6

Which chronic health condition should the nurse include in the teaching session for a group of patients who are obese?&#10;A) Osteoporosis&#10;B) Acute kidney injury&#10;C) Coronary artery disease&#10;D) Type 1 diabetes mellitus&#10;

Accepted Answer

Obesity is a risk factor for developing coronary artery disease. Educating patients with obesity about ways to decrease their risk for developing cardiovascular disease is important in the management of their condition.

Question 7

The nurse is assessing an adult patient who is postoperative for bariatric surgery.Which assessment finding requires immediate intervention by the nurse?&#10;A) Increased flatus&#10;B) Increased back pain&#10;C) Increased urine output&#10;D) Increased bowel sounds&#10;

Accepted Answer

Increased back pain could indicate a possible surgical complication, such as a herniated disc or inadequate pain management. The nurse should assess the patient's pain level, administer pain medication as ordered, and notify the healthcare provider. Increased flatus, urine output, and bowel sounds are all expected postoperative findings after bariatric surgery.

Question 8

The nurse is providing medication teaching to an adult patient who is prescribed an anorectic drug for weight loss.Which finding in the patient's medical record would cause the nurse to question this drug prescription?

A) History of hypertension
B) History of hyponatremia
C) History of hyperglycemia
D) History of hypothyroidism

Accepted Answer

Anorectic drugs can increase blood pressure, so a patient with a history of hypertension should not be prescribed this type of weight loss medication as it could worsen their condition.

Question 9

The nurse is planning care for an obese patient who will use calorie reduction diet therapy.Which patient statement indicates the need for further education?&#10;A) &#34;I should reduce my calorie intake 500 calories per week.&#34;&#10;B) &#34;I will reduce my calorie intake with the goal of a one to two lb loss each week.&#34;&#10;C) &#34;If a very-low-calorie diet is recommended,I will be supervised by my doctor.&#34;&#10;D) &#34;My goal is to engage in 30 minutes of moderate-intensity exercise most days of the week.&#34;&#10;

Accepted Answer

The statement "I should reduce my calorie intake 500 calories per week" indicates the need for further education because reducing calorie intake by 500 calories per week is a slow weight loss plan and may not result in significant weight loss. The recommended rate of weight loss is 1-2 pounds per week, which is achievable by reducing calorie intake and increasing physical activity level.

Question 10

Which pharmacological therapy should the nurse include in a teaching session for an obese patient who is attempting weight loss?&#10;A) Food logs&#10;B) Phentermine&#10;C) Aerobic exercise&#10;D) Calorie reduction&#10;

Accepted Answer

Phentermine is a prescription medication used to suppress appetite and promote weight loss.

Question 11

The nurse is planning care for a patient based on the National Institute of Health (NIH)classification of body weight.Which body mass index (BMI)calculated by the nurse indicates the patient is diagnosed with class 3 extreme obesity?

A) 27.7
B) 30.9
C) 35.3
D) 40.1

Accepted Answer

The answer of The nurse is planning care for a...

Question 12

The nurse is planning care for a patient based on the National Institute of Health (NIH)classification of body weight.Which body mass index (BMI)calculated by the nurse indicates the patient is diagnosed with class 3 extreme obesity?

A) 27.7
B) 30.9
C) 35.3
D) 40.1

Accepted Answer

The answer of The nurse is planning care for a...

Question 13

The nurse is assessing several patients at a local health fair.Which patient is at the greatest risk for obesity?&#10;A) A young adult Caucasian female who lives in the city&#10;B) An older adult African-American male who lives in the suburbs&#10;C) A middle-aged unemployed Hispanic female who lives in a rural area&#10;D) A middle-aged Native American male who has accepted a teaching job in the inner city&#10;

Accepted Answer

The answer of The nurse is assessing several patients at...

Question 14

Which pharmacological therapy for weight loss can only be administered for 12 weeks when prescribed to a patient for weight loss?&#10;A) Orlistat&#10;B) Lorcaserin&#10;C) Metformin&#10;D) Phentermine&#10;

Accepted Answer

The answer of Which pharmacological therapy for weight loss can...

Question 15

Which behavioral therapy should the nurse include in a teaching session for an obese patient who is attempting weight loss?&#10;A) Food logs&#10;B) Phentermine&#10;C) Aerobic exercise&#10;D) Calorie reduction&#10;

Accepted Answer

The answer of Which behavioral therapy should the nurse include...

Question 16

Which medication for diabetes is also considered an obesogenic drug?&#10;A) Insulin&#10;B) Prazosin&#10;C) Propranolol&#10;D) Dexamethasone&#10;

Accepted Answer

The answer of Which medication for diabetes is also considered...

Question 17

Which is a goal of Healthy People 2020 that affects nutrition education that the nurse provides to the patient?&#10;A) An increase in bariatric surgery&#10;B) An overall increase in body mass index&#10;C) The maintenance of healthy body weight&#10;D) The promotion of carbohydrate restricting diets&#10;

Accepted Answer

The answer of Which is a goal of Healthy People...

Question 18

The nurse is planning care for a patient based on the National Institute of Health (NIH)classification of body weight.Which body mass index (BMI)calculated by the nurse indicates the patient is diagnosed with class 1 obesity?

A) 20.3
B) 24.5
C) 27.7
D) 30.9

Accepted Answer

The answer of The nurse is planning care for a...

Question 19

Which physical activity should the nurse include in a teaching session for an obese patient who is attempting weight loss?&#10;A) Food logs&#10;B) Phentermine&#10;C) Aerobic exercise&#10;D) Calorie reduction&#10;

Accepted Answer

The answer of Which physical activity should the nurse include...

Question 20

The nurse is providing care to a patient who is eight hours postoperative for bariatric surgery.Which is the priority safety intervention when providing care for this patient?&#10;A) Monitoring for flatus&#10;B) Repositioning for comfort&#10;C) Advancing to a clear liquid diet&#10;D) Assessing the nasogastric tube for patency&#10;

Accepted Answer

The answer of The nurse is providing care to a...

Question 21

Which long-term complication of bariatric surgery should the nurse include in the teaching session for a patient who is considering this procedure for weight loss?&#10;A) Anemia&#10;B) Infection&#10;C) Anastomosis leak&#10;D) Pulmonary embolism&#10;

Accepted Answer

The answer of Which long-term complication of bariatric surgery should...

Question 22

Which prescription weight loss drug requires the nurse to administer pregnancy tests to the patient on a monthly basis?&#10;A) Orlistat&#10;B) Lorcaserin&#10;C) Metformin&#10;D) Phentermine&#10;

Accepted Answer

The answer of Which prescription weight loss drug requires the...

Question 23

Which drug,prescribed for weight loss,should include information regarding loose and oily stools in the patient teaching session initiated by the nurse?&#10;A) Orlistat&#10;B) Lorcaserin&#10;C) Metformin&#10;D) Phentermine&#10;

Accepted Answer

The answer of Which drug,prescribed for weight loss,should include information...

Question 24

Which body mass index (BMI)calculated during the patient's physical assessment indicates that bariatric surgery is an option for weight loss?&#10;A) 37&#10;B) 38&#10;C) 39&#10;D) 40&#10;

Accepted Answer

The answer of Which body mass index (BMI)calculated during the...

Deck 68: Managing Care for the Adult Patient With Obesity