The nurse is teaching a community group about successful strategies for weight loss. Which would the nurse include? (SELECT ALL THAT APPLY)

Eat quickly and leave the table.

Check weight twice per day.

Increase alcohol intake with meals.

Learn to recognize satiety.

Keep a food diary.

Answer and Explanation

Correct Answer : D,E

Choice A rationale

Eating quickly and leaving the table can lead to overeating because it takes about 20 minutes for the brain to recognize satiety signals from the stomach. Eating slowly and mindfully is a better strategy for weight management as it allows time for these signals to take effect, reducing the likelihood of consuming excess calories.

Choice B rationale

Checking weight twice per day is not recommended. Frequent weight checks can lead to obsession and anxiety. Weight can fluctuate naturally due to various factors such as fluid retention, and monitoring it too often does not provide a clear picture of weight loss progress. A more balanced approach is to weigh oneself once a week.

Choice C rationale

Increasing alcohol intake with meals is not a recommended strategy for weight loss. Alcohol adds empty calories and can stimulate appetite, leading to overeating. It also affects metabolism and can contribute to weight gain rather than weight loss.

Choice D rationale

Learning to recognize satiety is a crucial strategy for weight loss. It involves being aware of the body's hunger and fullness cues, which can prevent overeating. Mindful eating practices help individuals eat in response to true hunger rather than emotional or situational cues.

Choice E rationale

Keeping a food diary helps track food intake, identify eating patterns, and make conscious dietary choices. It is an effective tool for weight loss as it increases awareness of what, how much, and when one eats, helping to manage and reduce caloric intake.

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Correct Answer is C

Explanation

Choice A rationale

Tenesmus is a frequent urge to defecate, common in ulcerative colitis but not indicative of toxic megacolon. It results from inflammation and irritation of the rectal and colonic mucosa, causing discomfort and straining during bowel movements.

Choice B rationale

Hyperactive bowel sounds are associated with increased gastrointestinal activity, often seen in diarrheal states and early mechanical bowel obstruction but not typically linked to toxic megacolon. Toxic megacolon often presents with reduced or absent bowel sounds due to colonic paralysis.

Choice C rationale

An enlarging abdominal girth indicates distension, a significant sign of toxic megacolon. This condition involves extreme dilation of the colon, which can lead to severe abdominal distension due to trapped gas and stool. This can be life-threatening if not treated promptly.

Choice D rationale

Anal fissures are tears in the anal canal, common in chronic constipation or Crohn’s disease, not typically a sign of toxic megacolon. They cause pain and bleeding during bowel movements but do not indicate toxic megacolon.

A. Urine specific gravity 1.035. B. Pain colicky in nature. C. Serum sodium 132 mEq/L. D. Frank blood in the N/G suction container.

Correct Answer is D

Explanation

Choice A rationale

Urine specific gravity of 1.035 indicates dehydration, which is concerning but not the most critical issue in a client with a bowel obstruction.

Choice B rationale

Colicky pain is typical of bowel obstruction as the intestines try to move contents past the obstruction, and while concerning, it is expected.

Choice C rationale

Serum sodium of 132 mEq/L indicates mild hyponatremia, which is concerning but not immediately life-threatening in the context of bowel obstruction.

Choice D rationale

Frank blood in the N/G suction container indicates possible bowel ischemia or perforation, which requires immediate intervention and is the most concerning finding.

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The nurse is teaching a community group about successful strategies for weight loss. Which would the nurse include? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse suspects that the client hospitalized with severe ulcerative colitis, may be developing the complication of toxic megacolon. Which assessment finding supports these suspicions?

Correct Answer is C

Explanation

Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

Correct Answer is D

Explanation

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The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a gastric ulcer? The client states that pain:

Which sign or symptom would the nurse expect to find in a client diagnosed with ulcerative colitis?

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