RNSG MISC: PU48 WITH EXPLAINED
CORRECT ANSWERS
Question 1
Which of the following medications used for obesity improves cardiovascular
disease risk factors in obese patients with metabolic syndrome?
You Selected:
•
Rimonabant (Acomplia)
Correct response:
•
Rimonabant (Acomplia)
Explanation:
Acomplia is the newest medication used to treat obesity. It stimulates weight
reduction and improves cardiovascular disease risk factors in obese patients
with metabolic syndrome. Meridia was recently pulled from the market
because of the increased risk of heart attack and stroke associated with this
medication. Orlistat, available by prescription and over the counter as Alli,
reduces caloric intake by binding to gastric and pancreatic lipase to prevent
digestion of fats.
Question 2
A client has gained 55 lb in the last 3 years and is concerned about
developing type 2 diabetes mellitus. Additionally, the client's healthcare
provider has diagnosed metabolic syndrome. What are the conditions which
contribute to developing metabolic syndrome? Select all that apply.
You Selected:
•
elevated blood glucose levels
, •
abdominal obesity
Correct response:
•
abdominal obesity
•
elevated blood glucose levels
Explanation:
Metabolic syndrome includes obesity, especially in the abdominal area; high
blood pressure (BP); elevated triglyceride, low-density lipoprotein (LDL), and
blood glucose levels; and a low high-density lipoprotein (HDL) level.
,Question 3
A nurse cares for a client with a BMI of 36 kg/m2 and nonalcoholic fatty liver
disease. The client asks the nurse if he is a candidate for bariatric surgery.
How should the nurse respond to the client?
You Selected:
•
"Yes, your BMI and chronic condition meets the criteria for bariatric
surgery."
Correct response:
•
"Yes, your BMI and chronic condition meets the criteria for bariatric
surgery."
Explanation:
The client's BMI of > 35 kg/m2 and a more severe obesity-associated
comorbid condition, makes the client a candidate for bariatric surgery.
Question 4
A client is scheduled for a Roux-en-Y bariatric surgery. When teaching the
client about the surgical procedure, which statement will the nurse use?
You Selected:
•
"The stomach is stapled to create a very small pouch and part of
the small intestine is rerouted."
Correct response:
•
"The stomach is stapled to create a very small pouch and part of
the small intestine is rerouted."
, Explanation:
In Roux-en-Y bariatric surgery, a horizontal row of staples across the fundus
of the stomach creates a pouch with a capacity of 20 to 30 mL. The jejunum
is divided distal to the ligament of Treitz, and the distal end is anastomosed
to the new pouch. The proximal segment is anastomosed to the jejunum.
Question 5
A nurse examines the socioeconomic impact of obesity among Americans.
Which statements does the nurse understand is true? Select all that apply.
You Selected:
•
Those with less education are impacted at a greater prevalence of
disease.
•
Those with less income are impacted at a greater prevalence of
disease.
Correct response:
•
Those with less education are impacted at a greater prevalence of
disease.
•
Those with less income are impacted at a greater prevalence of
disease.
Explanation:
The socioeconomic disparities of obesity among Americans is great. In
general, those who are less educated and earn less income are more likely
to have obesity. Home ownership does not decrease the prevalence of
obesity.
Question 6
A nurse researcher studies the pathophysiology and etiology of obesity.
CORRECT ANSWERS
Question 1
Which of the following medications used for obesity improves cardiovascular
disease risk factors in obese patients with metabolic syndrome?
You Selected:
•
Rimonabant (Acomplia)
Correct response:
•
Rimonabant (Acomplia)
Explanation:
Acomplia is the newest medication used to treat obesity. It stimulates weight
reduction and improves cardiovascular disease risk factors in obese patients
with metabolic syndrome. Meridia was recently pulled from the market
because of the increased risk of heart attack and stroke associated with this
medication. Orlistat, available by prescription and over the counter as Alli,
reduces caloric intake by binding to gastric and pancreatic lipase to prevent
digestion of fats.
Question 2
A client has gained 55 lb in the last 3 years and is concerned about
developing type 2 diabetes mellitus. Additionally, the client's healthcare
provider has diagnosed metabolic syndrome. What are the conditions which
contribute to developing metabolic syndrome? Select all that apply.
You Selected:
•
elevated blood glucose levels
, •
abdominal obesity
Correct response:
•
abdominal obesity
•
elevated blood glucose levels
Explanation:
Metabolic syndrome includes obesity, especially in the abdominal area; high
blood pressure (BP); elevated triglyceride, low-density lipoprotein (LDL), and
blood glucose levels; and a low high-density lipoprotein (HDL) level.
,Question 3
A nurse cares for a client with a BMI of 36 kg/m2 and nonalcoholic fatty liver
disease. The client asks the nurse if he is a candidate for bariatric surgery.
How should the nurse respond to the client?
You Selected:
•
"Yes, your BMI and chronic condition meets the criteria for bariatric
surgery."
Correct response:
•
"Yes, your BMI and chronic condition meets the criteria for bariatric
surgery."
Explanation:
The client's BMI of > 35 kg/m2 and a more severe obesity-associated
comorbid condition, makes the client a candidate for bariatric surgery.
Question 4
A client is scheduled for a Roux-en-Y bariatric surgery. When teaching the
client about the surgical procedure, which statement will the nurse use?
You Selected:
•
"The stomach is stapled to create a very small pouch and part of
the small intestine is rerouted."
Correct response:
•
"The stomach is stapled to create a very small pouch and part of
the small intestine is rerouted."
, Explanation:
In Roux-en-Y bariatric surgery, a horizontal row of staples across the fundus
of the stomach creates a pouch with a capacity of 20 to 30 mL. The jejunum
is divided distal to the ligament of Treitz, and the distal end is anastomosed
to the new pouch. The proximal segment is anastomosed to the jejunum.
Question 5
A nurse examines the socioeconomic impact of obesity among Americans.
Which statements does the nurse understand is true? Select all that apply.
You Selected:
•
Those with less education are impacted at a greater prevalence of
disease.
•
Those with less income are impacted at a greater prevalence of
disease.
Correct response:
•
Those with less education are impacted at a greater prevalence of
disease.
•
Those with less income are impacted at a greater prevalence of
disease.
Explanation:
The socioeconomic disparities of obesity among Americans is great. In
general, those who are less educated and earn less income are more likely
to have obesity. Home ownership does not decrease the prevalence of
obesity.
Question 6
A nurse researcher studies the pathophysiology and etiology of obesity.
