Deck 5: Obesity and Nutritional Imbalances

Question 1

When providing nutrition teaching, it is important for the nurse to understand the role and actions of dietary nutrients. Which vitamins does the nurse identify as being fat soluble? Select all that apply.
1)Vitamin A
2)Vitamin B
3)Vitamin C
4)Vitamin D
5)Vitamin E

Answer 1

1, 4, 5

Question 2

Which basal metabolic rate (BMR) does the nurse calculate for a 28-year-old man who weighs 65 kg and is 170 cm tall? 1.1,616 calories/day
2)1,166 calories/day
3)1,161 calories/day
4)1,661 calories/day

Answer 2

1

Question 3

A client undergoes gastric bypass surgery and reports symptoms postsurgery. Which symptoms are interpreted by the nurse as dumping syndrome? Select all that apply.
1)Rapid food digestion
2)Abdominal cramps
3)Proximal stomach pouch herniation
4)Severe hypotension
5)Diarrhea

Answer 3

2, 4, 5

Question 4

A client asks the nurse about liposuction as a means to lose body fat. Which statements by the nurse are true with regard to this procedure? Select all that apply.
1)It does not involve the use of an anesthetic.
2)It is considered a cosmetic procedure.
3)It is associated with high mortality rates.
4)It limits the amount of food the client consumes.
5)It requires wearing compression garments postoperatively.

Question 5

What is the percentage of body fat for a man who is considered to be obese? 1.30% to 40%
2)20% to 25%
3)14% to 17%
4)6% to 13%

Question 6

The nurse is counseling a female client who is 48 years of age. The client has a desk job and admits to a low-activity lifestyle. Which factor does the nurse reinforce if the client is seeking information about weight loss?
1)Female clients are more likely to gain weight
2)Aging is a inhibiting factor to weight loss
3)Improvement in quality and quantity of calories
4)The benefits of exercise and mobility

Question 7

The nurse is reviewing the pathophysiology connected to obesity. With regard to adipokines secreted by adipocytes, the nurse is aware that some are "bad" and others are "good." Which are the functions related to the "good" adipokines? Select all that apply.
1)Protects against arteriosclerosis
2)Acts as a major vasoconstrictor
3)Promotes the process of lipolysis
4)Enhances cell sensitivity to insulin
5)Reduces triglyceride levels

Question 8

The nurse is reviewing diagnostic test results with an older adult female. The client states, "I don't understand why my bone density test is so low. I take daily calcium supplements." Which question does the nurse initially ask the client?
1)"How much dairy products do you include in your diet?"
2)"Do you eat dark green leafy vegetables regularly?"
3)"Do you have any outside activities like gardening?"
4)"How often do you consume beef or meat products?"

Question 9

A client is to undergo gastric bypass surgery. Which part of the intestine is cut to connect to the newly created pouch in the superior portion of the stomach?
1)Omentum
2)Jejunum
3)Duodenum
4)Subcutaneous tissue

Question 10

According to the U.S. Department of Agriculture (USDA), which is the recommended daily allowance for calcium consumption? 1.1.7 mg
2)60 mg
3)400 mg
4)1000 mg

Question 11

Which nutrient deficiency causes beriberi?
1)Thiamin
2)Riboflavin
3)Vitamin B₆
4)Vitamin B₁₂

Question 12

A nurse is explaining about the risks of dumping syndrome to a client who recently underwent gastric bypass surgery. Which statements made by the nurse with regard to the risks of dumping syndrome are correct? Select all that apply.
1)Dumping syndrome may cause excessive sweating.
2)Once dumping syndrome occurs, it is uncontrollable.
3)The condition may place the client at risk for hyperglycemia.
4)The manifestations result in a malabsorption of nutrients.
5)Dumping syndrome frequently causes diarrhea.

Question 13

A client displays behaviors that involve a desire for perfection and success in academics, psychiatric characteristics of being socially isolated and emotional, and having a severely restricted diet. Which possible eating disorder does the nurse associate with this client?
1)Anorexia nervosa
2)Bulimia nervosa
3)Binge eating
4)Purging disorder

Question 14

The nurse is preparing a class for women aimed at weight management. Which percentage of body fat does the nurse cite as being considered acceptable in women? 1.35% to 40%
2)25% to 31%
3)21% to 24%
4)14% to 20%

Question 15

An adolescent client who is within a normal weight range admits to using laxatives and diuretics. The client displays increased symptoms of depression and reports a sore throat and tooth decay. Which question does the nurse ask the client to evaluate if the client is experiencing bulimia nervosa?
1)"Do you engage in self-induced purging?"
2)"Do you experience frequent constipation?"
3)"Have you been diagnosed with hypertension?"
4)"Have you had a habit of starving intentionally?"

Question 16

A client is diagnosed with a deficiency of ascorbic acid. During physical assessment the nurse notes areas of petechial and ecchymosis and inflamed, bleeding gums. Which disease does the nurse suspect?
1)Scurvy
2)Megaloblastic anemia
3)Rickets
4)Beriberi

Question 17

A client has a pigmented rash on the sun-exposed areas of their skin. The nurse recognizes which nutrient deficiency causing this condition?
1)Folate
2)Niacin
3)Vitamin A
4)Vitamin K

Question 18

The nurse is counseling a female client about nutrition. Which daily caloric intake does the nurse calculate for a 26-year-old woman who weighs 55 kg and is 163 cm tall? 1.1,345 calories/day
2)1,543 calories/day
3)1,453 calories/day
4)1,354 calories/day

Question 19

What is the lean body mass of a man whose weight is 164 lb and body fat is 22%? 1.128 lb
2)182 lb
3)218 lb
4)281 lb

Question 20

An older adult client expresses concern about getting enough potassium in their daily diet. The client is healthy and not taking diuretics. Which recommended daily allowance for potassium does the nurse support according to the U.S. Department of Agriculture (USDA)?
1)20 mg
2)300 mg
3)2,400 mg
4)3,500 mg

Question 21

The nurse is providing care for a client diagnosed with obesity as a secondary effect. Which possible disorders does the nurse anticipate as a possible cause of the client's obesity? Select all that apply.
1)Hypothyroidism
2)Prader-Willi syndrome
3)Polycystic ovarian syndrome
4)Cushing's syndrome
5)Leptin receptor gene mutation at 7q31

Question 22

Which statements are true with regard to free fatty acids? Select all that apply.
1)They cause glucose intolerance.
2)They send satiety signals to the brain.
3)They cause cirrhosis.
4)They are created through lipolysis.
5)They cause hypertension.

Question 23

Which statements are true about pharmacological interventions for weight loss? Select all that apply.
1)Weight loss medications are frequently very effective.
2)Pharmacological weight loss is usually short term.
3)Over-the-counter appetite suppressants have sympathomimetic side effects.
4)These products are for people with a body mass index (BMI) of 27 or greater and concurrent obesity-related medical problems.
5)Appetite suppressants are relatively safe and can be bought over the counter.

Question 24

A client comes in for a consultation with a bariatric surgeon to inquire about surgical options to lose weight. The client's body mass index (BMI) is checked to see if the client would be a candidate for bariatric surgery. A nurse records the client's height as 5 feet, 4 inches and weight as 258 pounds. What is the client's BMI? Record your answer to one decimal point. ____________________.