The nurse recognizes that the client requires additional teaching when he states, "Drugs like orlistat will:

be prescribed for me only after I've tried to change my lifestyle."

cause some unpleasant side effects."

be part of my treatment plan for at least the next ten years."

help me to achieve a weight loss of about 6-11 pounds."

Answer and Explanation

The Correct Answer is C

A.   This statement reflects an understanding that medications such as orlistat are typically prescribed as an adjunct to lifestyle changes, including diet and exercise. It is important for clients to attempt lifestyle modifications before resorting to medication for weight loss. Therefore, this statement demonstrates appropriate knowledge.
B.   Orlistat, a medication used for weight loss, can cause gastrointestinal side effects such as oily spotting, flatulence with discharge, fecal urgency, and oily or fatty stools.
C.   Orlistat is not typically used as a long-term treatment for weight loss. It is usually prescribed for a limited duration to aid in initial weight loss efforts or to help maintain weight loss achieved through lifestyle modifications.
D.   Orlistat has been shown to lead to modest weight loss in clinical studies, typically ranging from about 6-11 pounds (2.7-5 kg) over 6-12 months when used in conjunction with lifestyle modifications. However, individual weight loss outcomes can vary, and it is important for clients to have realistic expectations regarding the effectiveness of weight loss medications.

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Correct Answer is D

Explanation

D. The initial clinical manifestation associated with an obstruction in the duodenum is crampy abdominal pain, wavelike, and colicky. This discomfort occurs due to the blockage of the small intestine, leading to spasms and pain as the body tries to move contents past the obstruction.
A. Severe abdominal distention and cramping can occur with various gastrointestinal conditions, including an obstruction in the duodenum. However, this manifestation is not specific to duodenal obstruction and can occur with obstructions at other locations in the gastrointestinal tract.
B. Vomiting of fecal material, known as feculent vomiting, is a hallmark sign of a complete obstruction in the lower gastrointestinal tract.
C. Ribbon-like stools are more commonly associated with conditions affecting the lower gastrointestinal tract, such as colorectal cancer or irritable bowel syndrome (IBS).

A. Fluid overload B. Altered body image C. Imbalanced nutrition - less than body requirements D. Social isolation

Correct Answer is C

Explanation

C. Crohn's disease exacerbation often leads to malnutrition due to decreased oral intake, malabsorption, and increased nutrient losses through diarrhea. Addressing imbalanced nutrition is crucial to replenish depleted nutrient stores, support healing, and prevent further complications.
A. While fluid overload can be a concern in certain situations, such as when administering intravenous fluids or in clients with renal impairment, it is not typically a primary concern in clients hospitalized with Crohn's disease exacerbation. Crohn's disease is more commonly associated with dehydration due to diarrhea and malabsorption rather than fluid overload.
B. In the acute phase of Crohn's disease exacerbation, addressing immediate physiological needs and stabilizing the client's condition typically take precedence over psychosocial concerns.
D. Social isolation can be a concern for clients with chronic illnesses, including Crohn's disease, as it may impact their quality of life and emotional well-being. However, in the acute phase of exacerbation, addressing physiological needs and stabilizing the client's condition typically takes precedence over psychosocial concerns such as social isolation.

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The nurse recognizes that the client requires additional teaching when he states, "Drugs like orlistat will:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client admitted with an obstruction in the duodenum. Which initial clinical manifestation is associated with this condition?

Correct Answer is D

Explanation

The nurse is writing a care plan for a client who was diagnosed with Crohn's disease a year ago and is now hospitalized with a fourth acute exacerbation. Which client problem should receive the highest priority?

Correct Answer is C

Explanation

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?

A client is admitted with a possible small bowel obstruction. The nurse anticipates that the client's care will include: (SELECT ALL THAT APPLY)

The nurse is caring for a client admitted with a first episode of acute cholecystitis. Which of the following may have contributed to this event? She:

The client is being discharged after being seen in the urgent care center for a possible first experience with diverticulitis. The client asks the nurse what can be done to prevent further development of diverticular disease. The nurse's most important intervention to teach this client would be to:

The client has a possible diagnosis of appendicitis. On physical examination, the nurse should assess for tenderness on palpation at McBurney's point, located at which pictured site?

Which statement made by the nurse to a 14-year-old extremely obese teenager is most likely to motivate him to lose weight?

What is the most common cause of cystitis?

The nurse teaches the client about his newly-diagnosed benign prostatic hyperplasia (BPH). Which statement made by the client Indicates the need for further education?