Exam 41: Nursing Management: Obesity

When working with an obese patient who is enrolled in a behavior modification program, which nursing action is appropriate?

A moderately obese patient has been on a 1000-calorie diet with a daily exercise routine and a prescription for sibutramine (Meridia) for 10 weeks. Which information obtained by the nurse is important to report to the health care provider?

The nurse is developing a weight loss plan for a 21-year-old obese patient. Which statement by the nurse is most likely to help the patient in losing weight on the planned 800-calorie diet?

A patient returns to the surgical nursing unit following a vertical banded gastroplasty with a nasogastric tube to low, intermittent suction and a PCA machine for pain control. During the postoperative care of the patient, the nurse recognizes the need to

When developing a weight-reduction plan for an obese patient who is starting a weight-loss program, which question is most important for the nurse to ask?

A patient has a new prescription for sibutramine (Meridia). Which information about the patient indicates that the nurse should discuss the medication with the health care provider before administration?

A patient who has been consistently following a diet and exercise program and successfully losing 1 lb weekly for several months is weighed at the clinic and has not lost any weight for the last month. The nurse should first

The nurse in the clinic is assessing a new patient who has abdominal obesity and hypertension. What further assessment should the nurse do to assess for possible metabolic syndrome?

Which of these menu selections by a patient who is attempting to lose weight indicates that the initial instructions about diet have been understood?

The nurse is assessing patients at the outpatient clinic. Which of these patients is at risk for health complications related to weight?

The nurse provides discharge instructions to a patient following gastric bypass surgery for treatment of obesity. The nurse teaches the patient to

When taking the health history from an obese patient, which information obtained by the nurse is most helpful in determining whether the patient will be successful in losing weight?

A patient has been taking orlistat (Xenical) for several months as part of a weight loss program which also includes a low-fat diet. Which of these data obtained by the nurse indicate that a change in therapy may be needed?

An obese patient asks the nurse about using orlistat (Xenical) for weight reduction. The nurse advises the patient that

A patient is being evaluated at the clinic for possible metabolic syndrome. The nurse will instruct the patient about the purpose of the

After discussing appropriate exercise activities with an overweight patient who is starting to exercise as part of a weight-loss program, the nurse will determine that the instructions have been understood when the patient reports

In planning preoperative teaching for a patient undergoing a Roux-en-Y gastric bypass as treatment for morbid obesity, the nurse places the highest priority on

A few months after bariatric surgery, the patient tells the nurse, "My skin is hanging in folds. I think I need cosmetic surgery." Which response by the nurse is most appropriate?