The nurse is providing teaching for a weight loss group on the ...

[EY67]

The nurse is providing teaching for a weight loss group on the cardiac dangers of obesity. Which statement, if made by the nurse, would be incorrect?
 
  a. Obesity increases the risk of atherosclerosis.
  b. Obesity increases the risk of hypertension.
  c. Obesity can reduce pumping action of the heart.
  d. Tissue perfusion is diminished by obesity.

Question 2

The mental health unit separates from others a male patient who repeatedly talks rapidly, makes sexual comments to female patients, and touches them inappropriately.
 
  While reviewing his medical records, which diagnosis can the nurse best anticipate for this patient?
  a. Depression
  b. Schizophrenia
  c. Alzheimer's disease
  d. Bipolar disorder

[hramirez205]

Answer to Question 1

D
It is a correct statement that obesity increases the risk of atherosclerosis, particularly if obesity results from excess sugar or saturated fat intake. Obesity does increase the risk of hypertension; even young children should be monitored for hypertension if they are obese. Fat builds up around the heart of obese individuals, resulting in reduced pumping action of the heart. In obesity, the workload of the heart is increased in an attempt to perfuse excess body tissue; however, tissue perfusion is not diminished until the heart is damaged and can no longer adequately perfuse the tissues.

Answer to Question 2

D
Patients with bipolar disorder, particularly during manic phases, are likely to be preoccupied with pleasurable activities and commonly display increased sexual activity in the form of verbalizing and acting out. Depressed patients often experience loss of interest in all activities, including pleasant ones, and are not likely to exhibit this type of behavior. Patients with schizophrenia experience delusions that interfere with sexuality, so would not likely display this behavior. Patients who have Alzheimer's disease are often confused in earlier stages and nonresponsive in later stages. This patient would not be the most likely to exhibit this behavior.