Nursing Management Obesity

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Question 1
Free
Multiple Choice

The nurse is developing a weight loss plan for a young adult client who is morbidly obese. Which of the following statements by the nurse is most likely to help the client in losing weight on the planned 1 000-calorie diet?

Choose correct answer/s
A

"It will be necessary to change lifestyle habits permanently to maintain weight loss."

B

"You will decrease your risk for future health problems such as diabetes by losing weight now."

C

"Most of the weight that you lose during the first weeks of dieting is water weight rather than fat."

D

"You are likely to start to notice changes in how you feel with just a few weeks of diet and exercise."

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Question 2
Free
Multiple Choice

The nurse has completed teaching a client about the recommended amounts of foods from different food groups. Which of the following menu selections indicates that the initial instructions about health eating have been understood?

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A

90 mL of pork roast, a cup of corn, tomatoes, and 125 mL rice

B

A chicken breast and a cup of tossed salad with nonfat dressing

C

A 180 mL can of tuna mixed with nonfat mayonnaise and chopped celery

D

90 mL of roast beef, 60 mL of low-fat cheese, and a half-cup of carrot sticks

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Question 3
Free
Multiple Choice

The nurse is collaborating with an obese client who is enrolled in a behaviour modification program. Which of the following nursing actions is best?

Choose correct answer/s
A

Having the client write down the caloric intake of each meal

B

Asking the client about situations that tend to increase appetite

C

Encouraging the client to eat small amounts throughout the day rather than having scheduled meals

D

Suggesting that the client have a reward, such as a piece of sugarless candy, after achieving a weight-loss goal

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Question 4
Free
Multiple Choice

Which of the following client behaviours indicate that an overweight client has understood the nurse's teaching about the best exercise plan for weight loss?

Choose correct answer/s
A

Walking for 40 minutes 6 or 7 days/week

B

Lifting weights with friends three times/week

C

Playing soccer for an hour on the weekend

D

Running for 10-15 minutes three times/week

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Question 5
Free
Multiple Choice

The nurse is providing nutritional teaching to a client who is to start on a very-low-calorie diet. Which of the following calorie amounts should the nurse tell the client that daily calories are not to exceed?

Choose correct answer/s
A

500

B

800

C

1 100

D

1 400

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Question 6
Multiple Choice

Which of the following surgeries places the client at greatest risk of developing dumping syndrome postoperatively?

Choose correct answer/s
A
Vertical banded gastroplasty
B
Adjustable gastric banding
C
Vertical sleeve gastrectomy
D
Lap-Band
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Question 7
Multiple Choice

Afew months after bariatric surgery, an older-adult client tells the nurse, "My skin is hanging in folds. I think I need cosmetic surgery." Which of the following responses by the nurse is best?

Choose correct answer/s
A
"Perhaps you would like to talk to a counsellor about your body image."
B
"The important thing is that your weight loss is improving your health."
C
"The skin folds will gradually disappear once most of the weight is lost."
D
"Cosmetic surgery is certainly a possibility once your weight has stabilized."
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Question 8
Multiple Choice

The nurse is caring for a client who returns to the surgical nursing unit following a vertical banded gastroplasty with a nasogastric tube to low, intermittent suction and a patient-controlled analgesia (PCA) machine for pain control. Which of the following nursing actions should be included in the postoperative plan of care?

Choose correct answer/s
A
Irrigate the nasogastric (NG) tube frequently with normal saline.
B
Offer sips of sweetened liquids at frequent intervals.
C
Remind the client that PCA use may slow the return of bowel function.
D
Support the surgical incision during client coughing and turning in bed.
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Question 9
Multiple Choice

Which of the following information should the nurse plan to include in discharge teaching for a client after gastric bypass surgery?

Choose correct answer/s
A
Avoid drinking fluids with meals.
B
Choose high-fat foods for at least 30% of intake.
C
Choose foods that are high in fibre to promote bowel function.
D
Development of flabby skin can be prevented by daily exercise.
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Question 10
Multiple Choice

Which of the following assessments should the nurse do to help determine if an obese client seen in the clinic has metabolic syndrome?

Choose correct answer/s
A
Take the client's apical pulse.
B
Check the client's blood pressure.
C
Ask the client about dietary intake.
D
Dipstick the client's urine for protein.
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Question 11
Multiple Choice

Which of the following topics is of most importance for the nurse to include when teaching a client about testing for possible metabolic syndrome?

Choose correct answer/s
A
Blood glucose test
B
Cardiac enzyme tests
C
Postural blood pressures
D
Resting electrocardiogram
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Question 12
Multiple Choice

What of the following specific information should the nurse include in client teaching for an overweight client who is starting a weight loss plan?

Choose correct answer/s
A
Weigh yourself at the same time every morning.
B
Start dieting with a 600- to 800-calorie diet for rapid weight loss.
C
Low carbohydrate diets lead to rapid weight loss but are difficult to maintain.
D
Weighing all foods on a scale is necessary to choose appropriate portion sizes.
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Question 13
Multiple Choice

Which of the following clients in the clinic should the nurse plan to teach about risks associated with obesity?

Choose correct answer/s
A
Client who has a BMI of 18 kg/m2
B
Client with a waist circumference 86 cm
C
Client who has a body mass index (BMI) of 24 kg/m2
D
Client whose waist measures 75 cm and hips measure 85 cm
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Question 14
Multiple Choice

The nurse is caring for a client who has undergone bariatric surgery and has just arrived on the unit from the recovery room. Which of the following actions should the nurse implement to promote tidal flow and reduce abdominal pressure?

Choose correct answer/s
A
Perform passive range-of-motion exercises.
B
Elevate the head of the bed 45 degrees.
C
Inform the client that ambulation will occur in one hour.
D
Administer heparin, as ordered.
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Question 15
Multiple Choice

A client who has been successfully losing 0.5 kg weekly for several months is weighed at the clinic and has not lost any weight for the last month. Which of the following actions should the nurse do first?

Choose correct answer/s
A
Review the diet and exercise guidelines with the client.
B
Instruct the client to weigh weekly and record the weights.
C
Ask the client whether there have been any changes in exercise or diet patterns.
D
Discuss the possibility that the client has reached a temporary weight loss plateau.
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Question 16
Multiple Choice

The nurse obtains these assessment data for a client who has been taking orlistat for several months as part of a weight loss program. Which of the following findings is most important to report to the health care provider?

Choose correct answer/s
A
The client frequently has liquid stools.
B
The client is pale and has many bruises.
C
The client is experiencing a plateau in weight loss.
D
The client complains of abdominal bloating after meals.
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Question 17
Multiple Choice

The nurse is developing a weight reduction plan for an obese client who wants to lose weight. Which of the following questions should the nurse ask first?

Choose correct answer/s
A
"Which food types do you like best?"
B
"How long have you been overweight?"
C
"What kind of physical activities do you enjoy?"
D
"What factors do you think led to your obesity?"
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Question 18
Multiple Choice

On the first postoperative day the nurse is caring for a client who has had a Roux-en-Y gastric bypass procedure. Which of the following assessment findings should be reported immediately to the surgeon?

Choose correct answer/s
A
Use of patient-controlled analgesia (PCA) several times an hour for pain
B
Irritation and skin breakdown in skin folds
C
Bilateral crackles audible at both lung bases
D
Emesis of bile-coloured fluid past the nasogastric (NG) tube
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Question 19
Multiple Choice

The nurse is planning preoperative teaching for a client undergoing a Roux-en-Y gastric bypass as treatment for morbid obesity. Which of the following interventions is priority?

Choose correct answer/s
A
Demonstrating passive range-of-motion exercises to the legs.
B
Discussing the necessary postoperative modifications in lifestyle
C
Teaching the client proper coughing and deep-breathing techniques
D
Educating the client about the postoperative presence of a nasogastric (NG) tube
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