Exam 41: Nursing Management: Obesity

A patient returns to the surgical nursing unit following a vertical banded gastroplasty with a nasogastric tube to low, intermittent suction and a patient-controlled analgesia ( PCA ) machine for pain control. Which nursing action should be included in the postoperative plan of care?

Which nursing action included in the plan of care for a patient who is being admitted for bariatric surgery can the nurse delegate to nursing assistive personnel (NAP)?

A 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?

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

When developing a weight reduction plan for an obese patient who wants to lose weight, which question should the nurse ask first?

Which topic would be of importance for the nurse to include when teaching a patient about testing for possible metabolic syndrome?

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

Which information will the nurse plan to include in discharge teaching for a patient after gastric bypass surgery?

When the health care provider in the outpatient clinic is considering prescribing sibutramine ( Meridia ) for a patient, which patient information is most important for the nurse to discuss with the provider?

The nurse obtains these assessment data for a patient who has been taking orlistat (Xenical) for several months as part of a weight loss program. Which finding is most important to report to the health care provider?

After the nurse has completed teaching a patient about the recommended amounts of foods from animal and plant sources, which of these menu selections indicates that the initial instructions about diet have been understood?

The nurse is developing a weight loss plan for a 21-year-old patient who is morbidly obese. Which statement by the nurse is most likely to help the patient in losing weight on the planned 1000-calorie diet?

On the first postoperative day the nurse is caring for a patient who has had a Roux-en-Y gastric bypass procedure. Which assessment finding should be reported immediately to the surgeon?

Which assessment will the nurse do to help determine if an obese patient seen in the clinic has metabolic syndrome?

A patient who has been 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

A few months after bariatric surgery, a 62-year-old patient tells the nurse, "My skin is hanging in folds. I think I need cosmetic surgery." Which response by the nurse is most appropriate?

Which of these patients in the clinic will the nurse plan to teach about risks associated with obesity?

What specific information will the nurse include in patient teaching for an overweight patient who is starting a weight loss plan?

Which patient behavior indicates that an overweight patient has understood the nurse's teaching about the best exercise plan for weight loss?