A nurse is teaching a class about long-term effects of childhood obesity. The nurse should include which of the following conditions as a potential complication of childhood obesity?

Attention-deficit/hyperactivity disorder

Diabetes mellitus

Rheumatoid arthritis

Hypotension

Answer and Explanation

The Correct Answer is B

B. Childhood obesity is a significant risk factor for the development of type 2 diabetes mellitus (T2DM) in children and adolescents. Excess adiposity can lead to insulin resistance, a key underlying mechanism in the development of T2DM.
A. While ADHD is a neurodevelopmental disorder that can affect children, it is not typically considered a direct consequence or complication of childhood obesity. However, there may be associations between obesity and ADHD, such as shared genetic factors or lifestyle factors, but causality is not clearly established.
C. Rheumatoid arthritis is an autoimmune disorder characterized by inflammation of the joints. While obesity is a known risk factor for osteoarthritis, particularly in weight-bearing joints, it is not typically associated with rheumatoid arthritis.
D. Hypotension, or low blood pressure, is not typically considered a complication of childhood obesity. In fact, obesity is more commonly associated with hypertension (high blood pressure) due to the increased strain on the cardiovascular system.

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Correct Answer is B

Explanation

B. Rebound tenderness on abdominal palpation: Rebound tenderness, where pain increases upon release of pressure during abdominal palpation, is a classic sign of peritonitis, which can occur due to a peptic ulcer perforation. It indicates irritation of the peritoneum, the lining of the abdominal cavity, which can occur when stomach contents leak into the peritoneal cavity.
A. Numbness in the legs is not typically associated with perforation of a peptic ulcer. Perforation of a peptic ulcer usually presents with localized abdominal symptoms rather than symptoms in the legs.
C. Projectile vomiting of undigested food is not typically associated with perforation of a peptic ulcer. It is more commonly seen in conditions such as pyloric stenosis or gastrointestinal obstruction.
D. Jaundice, a yellow discoloration of the skin and sclera, is not typically associated with perforation of a peptic ulcer.

A. "I'm so glad I will be able to drink orange juice while I'm taking these medications." B. "While I'm taking these medications, my bowel movements could be black." C. "I'll include more calcium and vitamin D in my diet to prevent osteoporosis." D. "I have a medicine at home to take when I start having loose stools."

Correct Answer is B

Explanation

B. Bismuth subsalicylate, one of the medications prescribed for peptic ulcers, can cause blackening of the stools. This discoloration is harmless and temporary but is an important side effect to be aware of.
A. Citrus juices, including orange juice, can exacerbate symptoms of peptic ulcers due to their acidic nature. Therefore, it would not be appropriate for the client to consume orange juice while taking famotidine and bismuth subsalicylate.
C. Osteoporosis is not a known side effect or concern associated with these medications.
D. Constipation and not diarrhea, is a potential side effect of bismuth subsalicylate.

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A nurse is teaching a class about long-term effects of childhood obesity. The nurse should include which of the following conditions as a potential complication of childhood obesity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has a history of peptic ulcer disease and is being admitted to the hospital with clinical manifestations of a perforation. Which finding by the nurse would best Indicate that perforation has occurred?

Correct Answer is B

Explanation

The nurse teaches a client newly diagnosed with a peptic ulcer about the prescribed medications famotidine and bismuth subsalicylate. Which statement made by the client indicates that the teaching was effective?

Correct Answer is B

Explanation

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