Author Question: The nurse determines that the client understands an important principle of weight reduction when the ... (Read 39 times)

kshipps · **on:** Jul 23, 2018

The nurse determines that the client understands an important principle of weight reduction when the client makes which statement?

1. Obesity is closely linked with health risks, such as diabetes and hypertension.
2. The most common cause of obesity is genetically linked hyperthyroidism.
3. Everyone in my family is overweight; there is nothing I can do about my obesity.
4. Lifestyle changes are not effective in weight loss if an individual's history includes obesity.

Question 2

A client receiving parenteral nutrition has an increased pulse and pale, cool, clammy skin. Which intervention will the nurse perform?

1. Check blood glucose levels.
2. Administer insulin coverage.
3. Increase the parenteral nutrition infusion rate.
4. Stop the parenteral nutrition infusion.

aidanmbrowne · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Studies consistently reveal a direct relationship between obesity and diabetes and hypertension.
Rationale 2: Hyperthyroidism normally produces weight loss, not weight gain.
Rationale 3: Family tendencies towards obesity can be overcome through proper diet and exercise.
Rationale 4: Regardless of familial history of obesity, lifestyle changes are the most important strategy for weight loss.
Global Rationale: Studies consistently reveal a direct relationship between obesity and diabetes and hypertension. Hyperthyroidism normally produces weight loss, not weight gain. Family tendencies towards obesity can be overcome through proper diet and exercise. Regardless of familial history of obesity, lifestyle changes are the most important strategy for weight loss.

Answer to Question 2

Correct Answer: 1
Rationale 1: Blood glucose levels should be checked because the signs exhibited by the client are associated with hypoglycemia or excess insulin.
Rationale 2: The signs exhibited by the client are associated with hypoglycemia, so insulin should not be administered.
Rationale 3: Parenteral nutrition infusion rates are based on the nutrition goal to be achieved within an established timeframe. Increasing the infusion rate is not indicated.
Rationale 4: Parenteral nutrition should not be discontinued abruptly, because it can result in hypoglycemia.
Global Rationale: Blood glucose levels should be checked because the signs exhibited by the client are associated with hypoglycemia or excess insulin. Parenteral nutrition infusion rates are based on the nutrition goal to be achieved within an established timeframe. Increasing the infusion rate is not indicated. Parenteral nutrition should not be discontinued abruptly, because it can result in hypoglycemia.