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. Anuria refers to the absence of urine production, which can occur due to urinary tract obstruction, severe dehydration, or renal failure. In the context of a client attempting to pass a kidney stone, anuria would be a concerning sign indicating potential urinary tract obstruction requiring urgent medical attention.
A. Renal colic refers to severe flank pain caused by the passage of a kidney stone through the urinary tract. While renal colic is a common symptom of kidney stones and can cause significant discomfort, it does not necessarily indicate an emergency situation unless it is associated with complications such as obstructive uropathy or infection.
B. Hematuria, or blood in the urine, is a common finding in individuals with kidney stones. It occurs due to irritation or injury to the urinary tract as the stone passes through.
C. Nausea is a common symptom experienced by individuals with kidney stones, particularly if there is associated pain or discomfort. While nausea can be distressing, it does not typically indicate an emergency situation unless it is severe and persistent, leading to dehydration or other complications.

A. 900 B. 2000 C. 1400 D. 1100

Correct Answer is D

Explanation

NPH insulin typically peaks in its action approximately 4 to 8 hours after administration. Given that the client received the insulin at 0730, the peak time for signs of hypoglycemia would likely occur between 1100 and 1500.

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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 hospitalized client who is attempting to pass a kidney stone. Which clinical manifestation should the nurse recognize as Indicating a potential emergency situation?

Correct Answer is D

Explanation

A client receives 20 units of NPH Insulin at 0730. The nurse teaches the client that signs of hypoglycemia are most likely to occur at what time?

Correct Answer is D

Explanation

Which of the following is a common symptom of esophageal ulcers?

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?

The nurse determines that instruction regarding prevention of future urinary tract Infections for a female client who has cystitis has not been effective when the client states, "I:

The nurse is caring for a client who has suspected appendicitis. While waiting for surgery, nursing interventions for this client would include: (NOTE: Assume that there are physician's orders for all interventions which would require them.) (SELECT ALL THAT APPLY)

The nurse is teaching a client about dietary management post gastric banding (Lap-band) surgery. Which information does the nurse plan to Include?

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

The nurse is evaluating the histories of several candidates for bariatric surgery. Who is the best candidate for the surgery?

The nurse is assessing a client after bariatric surgery. The client complains of chest pain and shortness of breath. What is the priority nursing Intervention at this time?