When advising a morbidly obese patient about the benefits of ...

[FButt]

When advising a morbidly obese patient about the benefits of weight reduction, which of the following statements would be most accurate to share?
 
  A)
  All you need to do is stop drinking sodas and sugary drinks.
  B)
  A 10 lb loss of weight can produce a decrease in blood pressure.
  C)
  An increased 'waist-to-hip' ratio can lead to too much pressure on the liver and intestines.
  D)
  If your leptin (hormone) level is too low, you are at increased risk for developing high BP.

Question 2

A client has suffered damage to his pericardium following a motor vehicle accident. Which consequence could be a possible complication of damaged pericardium that his care providers should assess for?
 
  A)
  Impaired physical restraint of the left ventricle
  B)
  Increased friction during the contraction/relaxation cycle
  C)
  Reduced protection from infectious organisms
  D)
  Impaired regulation of myocardial contraction

[jesse.fleming]

Answer to Question 1

Ans:
B

Feedback:

Weight reduction of as little as 4.5 kg (10 lb) can produce a decrease in BP in a large proportion of overweight people with hypertension. There are no data to suggest this patient has a history of high intake of sodas. An increased waist-to-hip ratio is associated with hypertension. Leptin acts on the hypothalamus to increase BP by activating the SNS.

Answer to Question 2

Ans:
D

Feedback:

Regulation of myocardial contraction is not a role of the fibrous covering around the heart. The pericardium does restrain the left ventricle, reduce friction by way of fluid in the pericardial cavity, and provide a physical barrier to infection.

[FButt]

Thanks for the timely response, appreciate it

[mcabuhat]

Gracias!