When addressing a local community group on the topic of obesity, the nurse should include the following points:
The approval process for bariatric surgery.
The effectiveness of behavioral therapy for clients seeking to lose weight.
The increased risk of morbidity and mortality associated with obesity.
The importance of diet and exercise in a successful weight loss program.
The safety and effectiveness of weight loss drugs.
Correct Answer : B,C,D
Choice A Reason:
The process of being approved for bariatric surgery is not relatively simple. It involves a comprehensive evaluation that includes medical tests, psychological assessment, and dietary counseling. The process can take several months to ensure that the patient is a suitable candidate for surgery.
Choice B Reason:
Behavioral therapy has been shown to be effective for clients seeking to lose weight. It involves strategies such as self-monitoring, developing problem-solving skills, and establishing a support network, which can lead to significant and sustainable weight loss.
Choice C Reason:
Obesity is known to increase the risk of morbidity and mortality. Excess body weight is associated with a higher risk of developing chronic diseases such as type 2 diabetes, cardiovascular diseases, and certain cancers.
Choice D Reason:
Diet and exercise are indeed critical components of a successful weight loss program. A combination of a calorie-restricted diet and regular physical activity is the most effective way to achieve and maintain weight loss.
Choice E Reason:
While weight loss drugs can be an adjunct to diet and exercise for weight loss, they are not universally safe and effective. They can have side effects and are not suitable for everyone. Their use should be evaluated on a case-by-case basis, and they are typically prescribed when lifestyle modifications have not been sufficient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason
A creatinine level of 0.8 mg/dL falls within the normal range for adults, which is typically 0.6 to 1.2 mg/dL for males and 0.5 to 1.1 mg/dL for females. This indicates normal kidney function and is not a cause for immediate intervention post-operatively.
Choice B Reason
A potassium level of 4.2 mEq/L is within the normal range, which is generally between 3.6 and 5.2 mEq/L. This level indicates a stable electrolyte balance and is not a cause for immediate concern following shoulder replacement surgery.
Choice C Reason
A white blood cell (WBC) count of 9,000 mm³ is within the normal range, which typically spans from 4,500 to 11,000 WBCs per mm³. This suggests there is no active infection or inflammation that requires immediate intervention.
Choice D Reason
A hemoglobin level of 7.1 g/dL is considered low, as the normal range for adult males is generally 13.8 to 17.2 g/dL and for adult females is 12.1 to 15.1 g/dL. Low hemoglobin can indicate anemia, which may be due to blood loss during surgery or other underlying conditions. This requires immediate intervention to address potential oxygenation issues and determine the cause of the anemia.
Correct Answer is A
Explanation
Choice A Reason
Acute compartment syndrome occurs when bleeding or swelling within an enclosed bundle of muscles – known as a muscle compartment – leads to increased pressure. This pressure can impede blood flow to the body tissue and destroy function. The fascia, which is a tough layer of fibrous tissue, does not stretch easily, so any swelling or bleeding can quickly lead to increased pressure.
Choice B Reason
While displaced bones can compress nerves and vessels, this is not the primary mechanism of acute compartment syndrome. Displaced bones are more likely to cause direct injury or impingement, but compartment syndrome specifically refers to the pressure build-up within a muscle compartment that affects circulation and tissue viability.
Choice C Reason
Interruption of blood supply to the bone is a serious concern and can lead to conditions such as avascular necrosis. However, in the context of acute compartment syndrome, the primary issue is the pressure within the muscle compartment rather than direct disruption of blood supply to the bone.
Choice D Reason
Compression of muscle tissue can restrict blood flow to the area, which is a part of the pathophysiology of compartment syndrome. However, the compression is a result of increased pressure within the compartment, not the primary cause. The increased pressure is due to bleeding and swelling, which is why choice A is the most accurate description.
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