A nurse is assessing a client who is obese. The nurse should identify the client as at risk for which of the following conditions?

Osteoarthritis

Emphysema

Hyperthyroidism

Hypotension

Answer and Explanation

The Correct Answer is A

A. Osteoarthritis Obesity increases the stress on weight-bearing joints, leading to degeneration and increased risk of osteoarthritis.
B. Emphysema This condition is primarily related to smoking and other respiratory irritants, not directly to obesity.
C. Hyperthyroidism Obesity is typically associated with hypothyroidism, not hyperthyroidism.
D. Hypotension Obesity is more commonly associated with hypertension (high blood pressure), not hypotension (low blood pressure).

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Correct Answer is B

Explanation

A. Hgb: A hemoglobin level of 11.1 mg/dL is lower than normal, indicating anemia, which could be concerning but might not be the most urgent issue compared to other findings.
B. Urinalysis results: Positive urine ketones indicate ketonuria, which is significant in the context of hyperemesis gravidarum and may reflect severe dehydration or malnutrition. This finding should be reported to the provider.
C. Intake: The client’s intake of 50% of the meal without emesis is a relevant detail but does not indicate a severe immediate issue compared to the urinalysis results.
D. Temperature: A temperature of 37.2° C (99° F) is slightly elevated but not extremely concerning in this context compared to other findings like ketonuria.

A. Overweight B. Extremely obese C. Normal D. Obese

Correct Answer is D

Explanation

To calculate the BMI:

Convert weight to kilograms: 90 kg (198 lb)
Convert height to meters: 160 cm = 1.6 m
Use the BMI formula: BMI = weight (kg) / height (m)^2

BMI = 90 / (1.6)^2 BMI = 90 / 2.56 BMI ≈ 35.2

A. Overweight: Overweight is typically classified with a BMI from 25 to 29.9. This BMI is higher.
B. Extremely obese: The term "extremely obese" is not commonly used. The classification for a BMI above 40 would be "extremely obese."
C. Normal: A normal BMI ranges from 18.5 to 24.9. The calculated BMI is higher than this range.
D. Obese: A BMI of 35.2 falls into the category of obesity (30 to 39.9).

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A nurse is assessing a client who is obese. The nurse should identify the client as at risk for which of the following conditions?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is performing a health screening for a client who weighs 90 kg (198 lb) and is 160 cm (63 in) tall. The nurse should classify the client's BMI as falling into which of the following categories?

Correct Answer is D

Explanation

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