Which statement made by the client about taking ...

[Jkov05]

Which statement made by the client about taking phenylpropanolamine indicates that further teaching is necessary?
 
  1. This medication was removed from the market due to increased incidence of stroke.
  2. Phenylpropanolamine was sold over the counter until it was discontinued.
  3. It is acceptable to take these pills on occasion when I want to lose a few pounds.
  4. I should dispose of any of these pills I might still have.

Question 2

The home health nurse is discussing nutrition with a client who asks, What do you think of the new grapefruit-only diets that have become popular? Which response by the nurse is the most appropriate?
 
  1. Weight loss through intake of grapefruit is not possible.
  2. Grapefruit is one of the healthiest food sources available.
  3. Comply with this type of diet for 6 months to avoid citrus overdose.
  4. Most fad diets have no scientific basis.

[millet]

Answer to Question 1

Correct Answer: 3
Rationale 1: Phenylpropanolamine, linked with an increase in strokes, is not prescribed as a weight-reduction therapy.
Rationale 2: Easy to obtain, phenylpropanolamine was sold over the counter until it was discontinued.
Rationale 3: Phenylpropanolamine can cause hypertension and dysrhythmias.
Rationale 4: This is a dangerous drug and should not be used.
Global Rationale: Two over-the-counter (OTC) appetite suppressants were widely used to promote weight loss in the 1980s and 1990s. Phenylpropanolamine, which was also used a decongestant in cold remedies, was removed from the market in 2000 due to an increased incidence of strokes and adverse cardiac events.

Answer to Question 2

Correct Answer: 4
Rationale 1: Weight loss with grapefruit only is possible, but not healthy.
Rationale 2: Grapefruit is limited in its nutritional value and is void of protein or essential fats.
Rationale 3: This diet would create nutrition deficiency and should not be encouraged.
Rationale 4: Most quick weight-loss schemes and fad diets are popular but have no scientific backing.
Global Rationale: Most quick weight-loss schemes and fad diets are popular but have no scientific backing. Weight loss with grapefruit only is possible, but not healthy as proteins and essential fats are absent. The diet would create a nutritional deficiency.

[Jkov05]

Excellent

[helenmarkerine]

TYSM