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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A Reason
Increased urine output is not a direct indicator of the effectiveness of nitroglycerin for angina pectoris. Nitroglycerin is a vasodilator used primarily to relieve chest pain by improving blood flow to the heart muscle, not to influence urine production.

Choice B Reason
Asking the client if their chest pain has been relieved is the most direct method of evaluating the effectiveness of nitroglycerin. Relief of chest pain indicates that the medication is working as intended, reducing the ischemia that causes angina.

Choice C Reason
While taking the client's blood pressure is important, especially since nitroglycerin can cause hypotension, it is not the primary method for evaluating the effectiveness of the medication in relieving angina. Blood pressure measurements are more of a safety check to monitor for adverse effects.

Choice D Reason
Ambulation and assessing for the absence of dyspnea can be part of an overall evaluation of the client's cardiovascular status, but they are not specific to evaluating the effectiveness of nitroglycerin for angina relief. Dyspnea may be a symptom of heart failure or other conditions, not specifically angina pectoris.

A. Switched to heparin. B. Given as prescribed. C. Increased. D. Held.

Correct Answer is A

Explanation

Choice A Reason:
Switching to heparin is not the standard response for a high INR. Heparin may be used in conjunction with warfarin when starting anticoagulation therapy, but it is not typically used as a substitute in response to an elevated INR.

Choice B Reason:
Giving the dose as prescribed would not be appropriate when the INR is significantly above the therapeutic range. Continuing the same dose could increase the risk of bleeding complications.

Choice C Reason:
Increasing the dose would be contraindicated as the INR is already too high. Increasing the warfarin dose would further elevate the INR and increase the risk of bleeding.

Choice D Reason:
Holding the dose is the correct action when the INR is significantly above the therapeutic range, which is generally between 2.0 to 3.0 for most indications. The healthcare provider should be notified, and the warfarin dose should be held until the INR returns to the therapeutic range. Vitamin K may also be administered to help lower the INR more quickly if necessary.

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When addressing a local community group on the topic of obesity, the nurse should include the following points:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To evaluate the effectiveness of nitroglycerin 0.4 mg SL administered to a client diagnosed with angina pectoris, the nurse should:

Correct Answer is B

Explanation

The nurse has administered warfarin 2.5 mg orally daily for three days to a client who has deep vein thrombosis. The client's International Normalized Ratio (INR) today is 5.0. The nurse notifies the healthcare provider because today's dose of the medication should be:

Correct Answer is A

Explanation

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