Author Question: The client has a BMI of 36 . He has comorbidities of type 2 diabetes and hypertension. He has tried ... (Read 13 times)

evelyn o bentley · **on:** Aug 2, 2018

The client has a BMI of 36 . He has comorbidities of type 2 diabetes and hypertension. He has tried restrictive dieting and has not been able to lose the weight he needs to lose. What would be the best suggestion for this client to lose weight?

A) Orlistat (Xenical) C) Behavior modification
B) Bariatric surgery D) Phentermine (Fastin)

Question 2

The client has been diagnosed with chronic renal failure. Indicate whether each of the following client issues contributes to nutrient losses, decreased intake, or increased needs.. Fill in the blank.

______________ Ordered diet restriction
______________ Hemodialysis
______________ Complaints of nausea
______________ Exhibiting signs of depression and social isolation
______________ Chronic venous ulcer on lower leg

bigsis44 · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

C
Feedback:
The current criterion for performing bariatric surgery is a BMI of 40 or greater or a BMI of 35 to 39.9 for clients who have major comorbidities.

Answer to Question 2

Decreased intake: Ordered diet restriction
Nutrient losses: Hemodialysis
Decreased intake: Complaints of nausea
Decreased intake: Exhibiting signs of depression and social isolation
Increased needs: Chronic venous ulcer on lower leg

Rationale: Malnutrition in the client with chronic renal failure can be due to nutrient losses, decreased food intake, or increased nutrient and caloric needs. Diet restrictions for clients with renal failure, depression, social isolation, and nausea are associated with a decreased intake of kilocalories and nutrients. Clients lose nutrients during hemodialysis with the use of dialysate. Clients who are experiencing inflammation or infection have an increased need for nutrients and kilocalories.