During a health screening, the nurse analyzes that which client ...

[Sportsfan2111]

During a health screening, the nurse analyzes that which client is at the highest risk for back problems?
 
  Select all that apply.
  A) 45-year-old man who plays golf three times a week for 20 years
  B) 18-year-old girl who is a distance track runner since middle school
  C) 62-year-old heavy truck mechanic with a body mass index (BMI) of 30
  D) 12-year-old boy with a history of cerebral palsy with a BMI of 21
  E) 78-year-old man with a 40 pack-year smoking history who is recently widowed

Question 2

The nurse, teaching a class to a group of community members about the importance of weight loss in decreasing the risk of type 2 diabetes mellitus, is asked why weight loss reduces the risk associated with the development of this health problem.
 
  Which response by the nurse is most appropriate?
  A) Excess body weight impairs the body's release of insulin.
  B) The amount of food taken in by those who are overweight requires more insulin to adequately metabolize them, resulting in diabetes.
  C) The physical inactivity associated with obesity causes a reduced ability by the body to produce insulin.
  D) Thin people are less likely to become diabetic.

[janeli]

Answer to Question 1

Answer: C, D, E

Herniated intervertebral disks are more common in clients who are men, over age 50, smokers, and obese, and who experience regular heavy lifting. Adolescent boys between the ages of 9 and 15 are at greatest risk for developing scoliosis. Playing golf and running track do not cause a high risk of back problems.

Answer to Question 2

Answer: A

Beta cells of the body release insulin. Their actions are hindered as the amount of adipose tissue in the body increases. The amount of food taken in is not the issue as much as the excess body weight. The body does require more insulin with a greater food intake, but that does not necessarily result in diabetes. While obesity is a risk factor for the development of diabetes, this does not meet the question posed by the client. Inactivity is directly linked to obesity, but it does not present a direct tie to the production of insulin.