Exam 71: Weight Management

A patient who has hypothyroidism and is obese begins therapy with orlistat.The primary care NP teaches the patient about this drug and then asks the patient to describe its use.Which statement by the patient indicates understanding of the teaching?

A patient has a BMI of 35,a fasting plasma glucose of 120 mg/dL,elevated triglycerides,and a history of myocardial infarction.The primary care NP plans to initiate dietary and lifestyle counseling and should consider prescribing:

A patient who weighs 170 lb wishes to lose weight,with a target weight goal of 125 lb.To initiate a program that will result in a loss of 1 lb per week,the primary care NP should recommend a dietary intake of _____ kcal.

A man with a BMI of 38 and a waist size of 48 inches is seen in the clinic for an annual well check-up.The primary care NP orders laboratory tests and notes a fasting plasma glucose of 110 mg/dL,triglyceride level of 220 mg/dL,and high-density lipoprotein level of 40 mg/dL.The man's blood pressure is 160/110 mm Hg.The man has a history of cardiovascular disease and tells the NP he has tried to lose weight numerous times.The NP should consider:

A primary care NP has prescribed phentermine for a patient who is obese.The patient loses 10 lb in the first month but reports that the drug does not seem to be suppressing appetite as much as before.The NP should:

A woman comes to the clinic to talk about weight reduction.The primary care nurse practitioner (NP)calculates a body mass index (BMI)of 28.The woman's waist measures 34 inches.The woman tells the NP that she would like to lose 20 lb for her daughter's wedding in 6 months.The NP should:

A patient comes to the clinic to discuss weight loss.The primary care NP notes a BMI of 32 and performs a health risk assessment that reveals no obesity-related risk factors.The NP should recommend: