The nurse is preparing some educational materials for her patient ...

[misspop]

The nurse is preparing some educational materials for her patient about the impact of obesity and a high body mass index (BMI). She knows that as BMI increases, so does the risk of these conditions: (Select all that apply.)
 
  a. Increase in blood pressure
  b. Increase in HDL
  c. Increase in total cholesterol
  d. Development of atherosclerosis

Question 2

The nurse has received an order from the health care provider to discontinue the nasogastric tube. Which of the following actions by the nurse indicates a need for further education?
 
  a. The nurse clears the tube with air prior to discontinuing.
  b. The nurse stops the tube feeding.
  c. The nurse instructs the patient to cough while pulling out the tube.
  d. The nurse clamps the tube while pulling it out.

[mcarey591]

Answer to Question 1

ANS: A, C, D
As BMI levels rise, blood pressure and cholesterol levels also rise and the average high-density lipoprotein (HDL), or good, cholesterol levels decrease. Hyperlipidemia (elevation of plasma cholesterol, triglycerides, or both) or low HDL levels contribute to the development of atherosclerosis (the buildup of fat deposits on arterial vessel walls).

Answer to Question 2

ANS: C
To remove the tube, instruct the patient to take a deep breath and hold it; pinch the tube, and pull it out smoothly and quickly. The nurse should stop any feedings, and suction and flush the tube with water and/or air as appropriate. The nurse should not ask the patient to cough while pulling out the tube. Coughing during tube insertion may indicate the tube is entering the patients lungs.