A client with long-standing obesity has been prescribed phentermine/topiramate-ER for treatment. What statement by the client suggests that further health education is necessary?
I'm going to have to do some rearranging of my finances to make sure I can afford this medication.
I'm a bit nervous to start this medication because I know I'll need blood tests sometimes.
It's hard to believe that there are actually medications that can treat obesity.
I'm so relieved to start this medication. I really don't like having to exercise or change what I eat.
The Correct Answer is D
Choice A reason: This statement does not suggest that further health education is necessary. The client is expressing a realistic concern about the cost of the medication, which may be expensive or not covered by insurance. The nurse should acknowledge the client's financial situation and provide information about possible assistance programs or alternative options.
Choice B reason: This statement does not suggest that further health education is necessary. The client is expressing a reasonable anxiety about the medication, which may have side effects or interactions that require monitoring. The nurse should reassure the client and explain the purpose and frequency of the blood tests, as well as the potential benefits and risks of the medication.
Choice C reason: This statement does not suggest that further health education is necessary. The client is expressing a sense of wonder or skepticism about the medication, which may be uncommon or novel for the treatment of obesity. The nurse should educate the client about how the medication works and what to expect from the treatment, as well as the evidence and research behind it.
Choice D reason: This statement suggests that further health education is necessary. The client is expressing a false or unrealistic expectation about the medication, which is not a magic pill or a substitute for lifestyle changes. The nurse should correct the client and emphasize the importance of following a healthy diet and exercise regimen, as well as the goals and limitations of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Active transport is not the process that allows fluid to pass through a membrane from a dilute to a more concentrated area. Active transport is the process that moves solutes across a membrane against their concentration gradient, using energy from ATP. Active transport can create or maintain a concentration difference between two sides of a membrane.
Choice B reason: Osmosis is the process that allows fluid to pass through a membrane from a dilute to a more concentrated area. Osmosis is the movement of water across a selectively permeable membrane from an area of low solute concentration to an area of high solute concentration. Osmosis can equalize the concentration of solutes on both sides of a membrane.
Choice C reason: Filtration is not the process that allows fluid to pass through a membrane from a dilute to a more concentrated area. Filtration is the movement of fluid and solutes across a membrane due to a pressure difference between two sides of a membrane. Filtration can separate solutes from fluid based on their size and charge.
Choice D reason: Diffusion is not the process that allows fluid to pass through a membrane from a dilute to a more concentrated area. Diffusion is the movement of solutes across a membrane from an area of high solute concentration to an area of low solute concentration. Diffusion can also equalize the concentration of solutes on both sides of a membrane.
Correct Answer is A
Explanation
Choice A reason: This is the correct answer because weighing 28% above ideal body weight is a sign of obesity. Ideal body weight is an estimate of the weight that corresponds to the lowest mortality for a given height and gender. Obesity is defined as having a body weight that is 20% or more above ideal body weight.
Choice B reason: This is not the correct answer because having a waist circumference of 81.3 cm (32 in) is not a manifestation of obesity. Waist circumference is a measure of abdominal fat, which is associated with increased health risks. However, the cut-off point for waist circumference varies by gender and ethnicity. For women, a waist circumference of more than 88 cm (35 in) is considered high.
Choice C reason: This is not the correct answer because having a BMI of 28 is not a manifestation of obesity. BMI is a measure of body mass index, which is calculated by dividing weight in kilograms by height in meters squared. BMI is used to classify weight status and health risks. For adults, a BMI of 18.5 to 24.9 is considered normal, 25 to 29.9 is considered overweight, and 30 or more is considered obese.
Choice D reason: This is not the correct answer because having a body fat of 22% is not a manifestation of obesity. Body fat is a measure of the percentage of fat in the body, which is determined by various methods such as skinfold thickness, bioelectrical impedance, or underwater weighing. Body fat is influenced by age, gender, and physical activity. For women, a body fat of 21 to 33% is considered normal, 33 to 39% is considered high, and more than 39% is considered very high.
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