Author Question: A 50-year-old patient with a body mass index (BMI) of 26 and a waist circumference (WC) of 37 who ... (Read 92 times)

beccaep · **on:** Jul 23, 2018

A 50-year-old patient with a body mass index (BMI) of 26 and a waist circumference (WC) of 37 who smokes asks a nurse about drugs for weight loss. She tells the nurse, I keep trying to eat less, but it doesn't work. What will the nurse do?

a. Ask her to begin keeping a log of her food intake and activities.
b. Counsel her to quit smoking to reduce her health risk.
c. Suggest she begin walking every day to increase the number of calories burned.
d. Tell her she is a candidate for drug therapy and suggest she contact her provider.

Question 2

A nurse is counseling a group of patients who are beginning a weight-loss diet. The nurse discusses the role of exercise in weight management. Which statement by a patient indicates a need for further teaching?

a. Exercise has a greater role in weight-loss maintenance than in weight loss itself.
b. Exercise helps by reducing abdominal fat and improving cardiovascular fitness.
c. Once I lose weight, I can reduce the amount of time per week I exercise.
d. I should begin with at least 30 minutes of exercise per day, 5 days per week.

vickybb89 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Drug therapy can be used for people at increased health risk, such as this woman, but only as an adjunct to diet and exercise and only after a 6-month diet and exercise regimen has failed. The first step should be to ask the patient to keep a log of intake and activity so that she is aware of how many calories she consumes and how many she burns. Counseling her to quit smoking is appropriate in terms of overall health but does not address her current concern. Exercise without diet is not effective, although exercise is a useful adjunct to diet modification. The patient is not a candidate for drug therapy until she has tried a diet and exercise program for 6 months.

Answer to Question 2

ANS: C
Exercise is most useful for weight maintenance after weight loss has occurred; the amount of exercise recommended after weight loss has occurred is greater than for weight loss itself, so this statement indicates a need for further teaching. The other statements are all correct.