A nurse is teaching the family of a school-age child who is obese about complications of childhood obesity. Which of the following conditions should the nurse include in the teaching?
Hypothyroidism
Juvenile rheumatoid arthritis
Type 1 diabetes mellitus
Hypertension
The Correct Answer is D
A. Hypothyroidism is a condition characterized by an underactive thyroid gland and can contribute to weight gain, but it is not a direct complication of childhood obesity.
B. Juvenile rheumatoid arthritis is a chronic inflammatory disorder that affects the joints and is not directly related to obesity.
C. Type 1 diabetes mellitus is an autoimmune condition in which the pancreas produces little or no insulin, leading to high blood sugar levels. While obesity is a risk factor for type 2 diabetes, it is not a direct complication of childhood obesity.
D. Hypertension, or high blood pressure, is a known complication of obesity in both children and adults. Excess body weight can increase the workload on the heart and blood vessels, leading to elevated blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Urine output of 25 mL/hr may indicate inadequate renal perfusion or ongoing dehydration, which is not indicative of effective treatment for hypernatremia.
B. Fatigue is a nonspecific finding and does not specifically indicate the effectiveness of treatment for hypernatremia.
C. A firm grip bilaterally suggests adequate hydration and electrolyte balance, which would indicate effective treatment for hypernatremia.
D. Weight gain may occur with fluid retention, which could indicate overhydration rather than effective treatment for hypernatremia.
Correct Answer is D
Explanation
A. Having someone remain with the client for 30 minutes after meals can provide support and encouragement to prevent purging behaviorwhich are common with bulimia andnot anorexia nervosa.
B. Offering a selection of beverages at each meal may not directly address the underlying issues associated with anorexia nervosa.
C. Informing the client of a specific weight gain expectation may increase anxiety and may not be appropriate given the individualized nature of weight restoration in anorexia nervosa
treatment.
D. Encouraging the client to participate in developing dietary goals is important for fostering autonomy and empowerment and is associated with better compliance.
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