Test Bank For Nurse Practitioner Certification Exam Prep 6
k k k k k k k k
th Edition by Margaret A. Fitzgerald 9780803677128 Chapt
k k k k k k k
er 1-19 Complete Guide.
k k k
•
ANS:k A
Pacingk activitiesk throughoutk thek daykconserveskenergy,k andknursingkcarekshouldkbekpace
dk ask well.k Fatiguekisk akcommonk sidek effectk ofk cancerk andktreatment;k andk whilek adequateks
leepk isk important,k ank increasekinkthek numberkofk hoursk sleptk willk notk resolvekthek fatigue.k Re
strictionk ofk visitorsk doesk notk promotek healthykcopingkandkcankresultk ink feelingskofk isolation
.k -
k 3.k Whichk ofk thekfollowing kiskthekmostk appropriate k intervention k fork theknursek tokinclude kwhe
nk planningk carek fork ak patientk experiencingk fatiguek duek tok chemotherapy?
a. Prioritizationk andk administrationk ofk nursingk carek throughoutk thek day
b. Completingk allk nursingk carek inkthekmorningk sok thek patientk cank restk thek remainderk ofk t
hek day
c. Completingk allk nursingk carek ink thek eveningk whenk thek patientk isk morek rested
d. Limitingk visitors,k thusk promotingk thek maximalk amountk ofk hoursk fork sleep
ANS:k D
Thek earliestk signk ofk infectionk ink ank immunosuppressedk patientk cank bek ak mildk fever.k Muco
sitis,k confusion,k andk depressionk arekpossiblek clinicalk manifestationsk butk arek representati
vek ofk lessk life-threateningk complications.k -
k 4.k Thek nursek iskcaringkfork ak patientk whok received k akrecentk bonekmarrow k transplant.k Thek n
ursek wouldk monitork fork whichk ofk thek followingk clinicalkmanifestationsk thatk couldkindicatek ak
potentiallyk life-k threateningk situation?
a. Mucositis
b. Confusion
c. Depression
d. Mildk temperaturek elevation
ANS:k B
Primaryk preventionk ofk cancerk involveskavoidancek tokknownkcauseskofk cancer,k suchk ask su
nk exposure.k Secondaryk screeningk involvesk physicalk andk diagnostick examination.k -
k 1.k Whichk ofk thek followingk optionsk shouldkthek nursekincorporate k intok thek plankofk carek askakp
rimaryk preventionk strategyk fork reductionk ofk thek riskk fork cancer?
,a. Yearlyk mammographyk fork womenk agedk 40k yearsk andk older
b. Usingk skink protectionk duringk sunk exposurek whilek atk thek beach
c. Colonoscopyk atk agek 50k andk everyk 10k yearsk ask follow-up
d. Yearlyk prostate-
specifick antigenk (PSA)k andk digitalk rectalk examk fork menk agedk 50k andk over
ANS:k A
Earlyk colonk cancerk iskoftenk asymptomatic,k withkoccultk orkfrankk bloodk ink thekstoolk beingk ank
assessmentk findingk ink ak patientk diagnosedkwithkcolonkcancer.k Ifk paink isk present,k itkiskusuall
yk lowerk abdominalkcramping.k Constipationk andk diarrheak arek morek frequentk findingsk thank
nauseak ork ascites.k -
k 2.k Whilek thek nursek isk collecting kakhealthk historyk onkakpatientk admittedk fork colonk cancer,kwh
ichk ofk thek followingk questionsk shouldk thek nursek askk ask ak priority?
a. "Havek youk noticedk anyk bloodk ink yourk stool?"
b. "Havek youk beenk experiencingk nausea?"
c. "Dok youk havek backk pain?"
d. "Havek youk noticedk anyk swellingk ink yourk abdomen?"
ANS:k D
Agingk isk ak non-
modifiablek riskk factork fork thek developmentk ofk cancerk withk ankassociatedk increasekseenkwit
hk aging.k Ink termsk ofk genderk andkage,k lifetimek riskkiskhigherkfork maleskthank females.k Family
k historyk ofk co-
morbiditiesk suchk ask hypertensionkisknotk directlykcorrelatedk withk cancerk development.k Cig
arettek smokingk ask ak teenagerkfork thek patientkiskak riskk factork butk maykhavekmitigatedk impac
tk atk thisk pointk ink timek basedk onk thek patient'sk statedk agek andk lengthk ofk timek ask ak non-
smoker.k -k 5.k Whilek thek nursek isk obtainingk thek healthk historyk ofk ak 75-year-
oldk femalek patient,k whichk ofk thek followingk haskthekgreatestk implicationkfork thek developmen
tk ofk cancer?
a. Beingk ak woman
b. Familyk historyk ofk hypertension
c. Cigarettek smokingk ask ak teenager
d. Advancingkage
ANS:k D
Commonk signs/symptomsk ofk lungk cancerk includekcoughing,khemoptysis,k andkweightk loss,
k shortnessk ofk breathk andk chestk pain.k Theknursekshouldkexpectk tokseekweightk lossk andk alter
edk breathingk patterns.k Cleark sputumk andk orthostatick bloodk pressurek changesk wouldk notk b
ek seen.k -
k 6.k Ink caring k fork ak patientkadmittedk withklungkcancer,k whichkofk thekfollowing kshould k thek nurs
ek expectk tok findk onk assessment?
a. Nok usek ofk accessoryk musclesk duringk respirations
b. Orthostatick hypotensionk uponk changek ofk positioning
c. Cleark sputum
d. Weightk lossk comparedk tok lastk admission
,ANS:k A
Ak comprehensivek healthk historyk isk vitalk tok treatingk andk caringk fork thek patient.k Oftenk times,k
symptomsk arek vague.k Thek nursek shouldk conductk aksymptomk analysisktok gatherkask muchkin
formationk ask possible.k Questionsk shouldkaddresskthek durationkofk thek symptomsk andkinclud
e
thek location,k characteristics,k aggravatingk andk reliefk factors,k andk anyk treatmentsk takenk t
husk far.k -
k 7.k Ak femalek patientk complainsk ofk ak "scabk thatk justk won'tkheal"k underk herkleftk breast.k Dur
ingk yourk conversation,k shek alsok mentionsk chronick fatigue,klossk ofk appetite,k andk slightk co
ugh,k attributedk tok allergies.k Whatk isk thek nurse'sk bestk action?
a. Continuek tok conductk aksymptomk analysisk tokbetterk understandk thekpatient'sksymptomska
ndk concerns.
b. Endk thek appointmentk andk tellk thek patientk tok usek skink protectionk duringk sunk exposure.
c. Suggestk furtherk testingk withk ak cancerk specialistk andk providek thek appropriatek literature.
d. Tellk herk tok putk ak bandagek onk thek scabk andk setk ak follow-upk appointmentk ink 1k week.
ANS:k B
Ak nursek shouldk bek awarekofk potentialkcomplicationsk relativek tok hormonalk therapyk suchk ask t
hek developmentk ofk thrombusk formation.k Massagingk ak calfk thatk iskswollenkandkpainfulk isk nev
erk correct,k becausek thisk actionk mightk breakk ak clot,k causingkformationk ofk ankembolus,k whichk
couldk thenk travelk tok thek lungs.k -
k 8.k A k patientk withk prostatek cancerk isk takingk hormonal k therapyk tok control k tumork growth.k Hek r
eportsk thatk hisk leftk calfk isk swollenk andk painful.k Whichkofk thekfollowingkwouldkbekthek nurse'skb
estk action?
a. Instructk thek patientk tok keepk thek legk elevated.
b. Measurek thek calfk circumferencek andk comparekthek measurementkwithkthek rightk calfkc
ircumferencek measurement.
c. Applyk icek tok thek calfk afterk ak 10-minutek massagek ofk thek area.
d. Documentk assessmentk findingsk ask ank expectedk responsek withk estrogenk therapy.
ANS:k A
Individualsk withk akfamilyk historyk ofk breastk cancerk(especiallyk1stk degreekrelatives)k arek atk in
creasedk riskk fork diseasek occurrence.k Thek nursek shouldk informk thek patientk ofk thek outcomek
measuresk ofk thek screeningk plan.k Thek nursekshouldk notk dissuadek thek patientk fromk thek proc
essk basedk onk statingk therekisknokfamilykhistory,k asktherek isknokevidencek thatk ank adequatek fa
milyk historyk hask beenk obtained.k Similarly,k tokcorrelatek thek needkfork genetick testingk withk ins
urancek andk nok impliedk riskk cannotk bek statedk equivocally.
Althoughk thek decisionkiskupk tokthek patientkinkthek finalk analysis,k thatk responsek doesk notkadd
ressk relevantk informationk aboutk thek purposek ofk genetick screening.k -
k 9.k A k patientk beingkevaluated k fork breastk cancerkisknotk certain kwhetherk shek andk herkfamilyks
houldk participatek ink akgenetickscreeningk planksinceknokonekcank guaranteek thek results.k Wh
atk isk thek nurse'sk bestk response?
a. "Ifk youk havek ak familykhistoryk ofkbreastk cancer,k thekchancesk fork youk tok havek thisk typek ofk c
ancerk increase."
b. "Thek decisionk isk upk tok youk ink thek finalk analysis."
, c. "Ifk therek isk nok familyk history,k thenk therek isk nok needk tok gok throughk thek process."
d. "Ifk yourk insurancek willk payk fork thek screening,k thenk therek isk nok associatedk risk."
ANS:k B
Examinationk findingsk relativektok oncologyk patientsk andkneoplastick growthk manifestk askvisib
lek lesions,k physical kasymmetry,k palpablekmasses,k abnormalksoundskork thek presencek ofk bl
oodk onk screeningk tests.k Akbloodk pressurek ofk 130/88k iskwithinknormalkrangek askiskaknegative
k guaiack test.k Observation k ofk ak previouskgoiterk whichkiskconsistentk withkak priork admissionk isk
notk ak concern.k Thek detectionk ofk physicalkasymmetryk ask seenk byk ak differencek ink circumfere
ncek shouldk bek reportedk tok thek physician.k -
k 10.k A k nursek iskreviewing kassessmentk findingskfork akfemalekpatientk admitted k tokthek oncolog
yk unit.k Whichk findingk shouldk alertk thek nursek tok contactk thek physician?
a. Bloodk pressurek 130/88
b. Noticeablek differencek ink circumferencek ofk lowerk legs
c. Presencek ofk goiterk previouslyk identifiedk onk priork admission
d. Negativek guaiack test
ANS:k B
Ak 10-
poundk weightk losskink1k monthkcouldkindicatek cancerk ork mayk bek ank indicationk ofk furtherk pro
gressionk ofk memoryk loss.k Depressionk iskalsokanotherk commonk causek ofk weightk loss.k Thek
usek ofk ak markedk pillboxk andk planningk byk thek familyk fork 24-
hourk carek arek appropriatek fork thisk patient.k Itk isknotk unusualkthatk ank olderk patientk wouldk hav
ek friendsk whok havek died.k -
k 1.k Thek homek carek nursekiskreviewing kankolderkpatientk diagnosed kwithk mildkcognitive k impai
rmentk (MCI)k ink thek homek setting.k Whichk informationk isk ofk concern?
a. Thek patient'sk sonk usesk ak markedk pillboxk tok setk upk thek patient'sk medicationsk weekly.
b. Thek patientk hask lostk 10k poundsk (4.5k kg)k duringk thek lastk month.
c. Thek patientk isk caredk fork byk ak daughterk duringk thek dayk andk staysk withk ak sonk atk night.
d. Thek patientk tellsk thek nursek thatk ak closek friendk recentlyk died.
ANS:k D
Thisk patientk isk atkank increasedkriskk fork sarcopeniakandkshouldkbekinstructedk tok increasekact
ivityk thatk includesk strengthk trainingk tokpreventk musclekloss.k Dietk isk notk indicated.k Ak BMIk ofk
31k isk consideredk obese;k however,k thisk patientk doesk notk qualifyk fork surgical k intervention
untilk BMIk reachesk overk 35.k -k 2.k Thek nursek isk assistingk ak 79-year-
oldk patientk withk informationk aboutk dietk andkweightk loss.k Thekpatientkhaskakbodykmassk inde
xk (BMI)k ofk 31.k How k shouldk thek nursek instructk thisk patient?
a. "Yourk weightk iskwithinknormalklimits.k Continuekmaintainingkwithkcurrentk lifestylekc
hoices."
b. "Youk arek ak littlek overweight.k Cutk downk onk calorieskandkincreasekyourkactivity,k andkyouk s
houldk bek fine."
c. "Youk arek morbidlyk obese,k andk wek wouldklikektok schedulek youk ank appointmentk tok speakkw
ithk ak bariatrick specialistk aboutk surgery."
k k k k k k k k
th Edition by Margaret A. Fitzgerald 9780803677128 Chapt
k k k k k k k
er 1-19 Complete Guide.
k k k
•
ANS:k A
Pacingk activitiesk throughoutk thek daykconserveskenergy,k andknursingkcarekshouldkbekpace
dk ask well.k Fatiguekisk akcommonk sidek effectk ofk cancerk andktreatment;k andk whilek adequateks
leepk isk important,k ank increasekinkthek numberkofk hoursk sleptk willk notk resolvekthek fatigue.k Re
strictionk ofk visitorsk doesk notk promotek healthykcopingkandkcankresultk ink feelingskofk isolation
.k -
k 3.k Whichk ofk thekfollowing kiskthekmostk appropriate k intervention k fork theknursek tokinclude kwhe
nk planningk carek fork ak patientk experiencingk fatiguek duek tok chemotherapy?
a. Prioritizationk andk administrationk ofk nursingk carek throughoutk thek day
b. Completingk allk nursingk carek inkthekmorningk sok thek patientk cank restk thek remainderk ofk t
hek day
c. Completingk allk nursingk carek ink thek eveningk whenk thek patientk isk morek rested
d. Limitingk visitors,k thusk promotingk thek maximalk amountk ofk hoursk fork sleep
ANS:k D
Thek earliestk signk ofk infectionk ink ank immunosuppressedk patientk cank bek ak mildk fever.k Muco
sitis,k confusion,k andk depressionk arekpossiblek clinicalk manifestationsk butk arek representati
vek ofk lessk life-threateningk complications.k -
k 4.k Thek nursek iskcaringkfork ak patientk whok received k akrecentk bonekmarrow k transplant.k Thek n
ursek wouldk monitork fork whichk ofk thek followingk clinicalkmanifestationsk thatk couldkindicatek ak
potentiallyk life-k threateningk situation?
a. Mucositis
b. Confusion
c. Depression
d. Mildk temperaturek elevation
ANS:k B
Primaryk preventionk ofk cancerk involveskavoidancek tokknownkcauseskofk cancer,k suchk ask su
nk exposure.k Secondaryk screeningk involvesk physicalk andk diagnostick examination.k -
k 1.k Whichk ofk thek followingk optionsk shouldkthek nursekincorporate k intok thek plankofk carek askakp
rimaryk preventionk strategyk fork reductionk ofk thek riskk fork cancer?
,a. Yearlyk mammographyk fork womenk agedk 40k yearsk andk older
b. Usingk skink protectionk duringk sunk exposurek whilek atk thek beach
c. Colonoscopyk atk agek 50k andk everyk 10k yearsk ask follow-up
d. Yearlyk prostate-
specifick antigenk (PSA)k andk digitalk rectalk examk fork menk agedk 50k andk over
ANS:k A
Earlyk colonk cancerk iskoftenk asymptomatic,k withkoccultk orkfrankk bloodk ink thekstoolk beingk ank
assessmentk findingk ink ak patientk diagnosedkwithkcolonkcancer.k Ifk paink isk present,k itkiskusuall
yk lowerk abdominalkcramping.k Constipationk andk diarrheak arek morek frequentk findingsk thank
nauseak ork ascites.k -
k 2.k Whilek thek nursek isk collecting kakhealthk historyk onkakpatientk admittedk fork colonk cancer,kwh
ichk ofk thek followingk questionsk shouldk thek nursek askk ask ak priority?
a. "Havek youk noticedk anyk bloodk ink yourk stool?"
b. "Havek youk beenk experiencingk nausea?"
c. "Dok youk havek backk pain?"
d. "Havek youk noticedk anyk swellingk ink yourk abdomen?"
ANS:k D
Agingk isk ak non-
modifiablek riskk factork fork thek developmentk ofk cancerk withk ankassociatedk increasekseenkwit
hk aging.k Ink termsk ofk genderk andkage,k lifetimek riskkiskhigherkfork maleskthank females.k Family
k historyk ofk co-
morbiditiesk suchk ask hypertensionkisknotk directlykcorrelatedk withk cancerk development.k Cig
arettek smokingk ask ak teenagerkfork thek patientkiskak riskk factork butk maykhavekmitigatedk impac
tk atk thisk pointk ink timek basedk onk thek patient'sk statedk agek andk lengthk ofk timek ask ak non-
smoker.k -k 5.k Whilek thek nursek isk obtainingk thek healthk historyk ofk ak 75-year-
oldk femalek patient,k whichk ofk thek followingk haskthekgreatestk implicationkfork thek developmen
tk ofk cancer?
a. Beingk ak woman
b. Familyk historyk ofk hypertension
c. Cigarettek smokingk ask ak teenager
d. Advancingkage
ANS:k D
Commonk signs/symptomsk ofk lungk cancerk includekcoughing,khemoptysis,k andkweightk loss,
k shortnessk ofk breathk andk chestk pain.k Theknursekshouldkexpectk tokseekweightk lossk andk alter
edk breathingk patterns.k Cleark sputumk andk orthostatick bloodk pressurek changesk wouldk notk b
ek seen.k -
k 6.k Ink caring k fork ak patientkadmittedk withklungkcancer,k whichkofk thekfollowing kshould k thek nurs
ek expectk tok findk onk assessment?
a. Nok usek ofk accessoryk musclesk duringk respirations
b. Orthostatick hypotensionk uponk changek ofk positioning
c. Cleark sputum
d. Weightk lossk comparedk tok lastk admission
,ANS:k A
Ak comprehensivek healthk historyk isk vitalk tok treatingk andk caringk fork thek patient.k Oftenk times,k
symptomsk arek vague.k Thek nursek shouldk conductk aksymptomk analysisktok gatherkask muchkin
formationk ask possible.k Questionsk shouldkaddresskthek durationkofk thek symptomsk andkinclud
e
thek location,k characteristics,k aggravatingk andk reliefk factors,k andk anyk treatmentsk takenk t
husk far.k -
k 7.k Ak femalek patientk complainsk ofk ak "scabk thatk justk won'tkheal"k underk herkleftk breast.k Dur
ingk yourk conversation,k shek alsok mentionsk chronick fatigue,klossk ofk appetite,k andk slightk co
ugh,k attributedk tok allergies.k Whatk isk thek nurse'sk bestk action?
a. Continuek tok conductk aksymptomk analysisk tokbetterk understandk thekpatient'sksymptomska
ndk concerns.
b. Endk thek appointmentk andk tellk thek patientk tok usek skink protectionk duringk sunk exposure.
c. Suggestk furtherk testingk withk ak cancerk specialistk andk providek thek appropriatek literature.
d. Tellk herk tok putk ak bandagek onk thek scabk andk setk ak follow-upk appointmentk ink 1k week.
ANS:k B
Ak nursek shouldk bek awarekofk potentialkcomplicationsk relativek tok hormonalk therapyk suchk ask t
hek developmentk ofk thrombusk formation.k Massagingk ak calfk thatk iskswollenkandkpainfulk isk nev
erk correct,k becausek thisk actionk mightk breakk ak clot,k causingkformationk ofk ankembolus,k whichk
couldk thenk travelk tok thek lungs.k -
k 8.k A k patientk withk prostatek cancerk isk takingk hormonal k therapyk tok control k tumork growth.k Hek r
eportsk thatk hisk leftk calfk isk swollenk andk painful.k Whichkofk thekfollowingkwouldkbekthek nurse'skb
estk action?
a. Instructk thek patientk tok keepk thek legk elevated.
b. Measurek thek calfk circumferencek andk comparekthek measurementkwithkthek rightk calfkc
ircumferencek measurement.
c. Applyk icek tok thek calfk afterk ak 10-minutek massagek ofk thek area.
d. Documentk assessmentk findingsk ask ank expectedk responsek withk estrogenk therapy.
ANS:k A
Individualsk withk akfamilyk historyk ofk breastk cancerk(especiallyk1stk degreekrelatives)k arek atk in
creasedk riskk fork diseasek occurrence.k Thek nursek shouldk informk thek patientk ofk thek outcomek
measuresk ofk thek screeningk plan.k Thek nursekshouldk notk dissuadek thek patientk fromk thek proc
essk basedk onk statingk therekisknokfamilykhistory,k asktherek isknokevidencek thatk ank adequatek fa
milyk historyk hask beenk obtained.k Similarly,k tokcorrelatek thek needkfork genetick testingk withk ins
urancek andk nok impliedk riskk cannotk bek statedk equivocally.
Althoughk thek decisionkiskupk tokthek patientkinkthek finalk analysis,k thatk responsek doesk notkadd
ressk relevantk informationk aboutk thek purposek ofk genetick screening.k -
k 9.k A k patientk beingkevaluated k fork breastk cancerkisknotk certain kwhetherk shek andk herkfamilyks
houldk participatek ink akgenetickscreeningk planksinceknokonekcank guaranteek thek results.k Wh
atk isk thek nurse'sk bestk response?
a. "Ifk youk havek ak familykhistoryk ofkbreastk cancer,k thekchancesk fork youk tok havek thisk typek ofk c
ancerk increase."
b. "Thek decisionk isk upk tok youk ink thek finalk analysis."
, c. "Ifk therek isk nok familyk history,k thenk therek isk nok needk tok gok throughk thek process."
d. "Ifk yourk insurancek willk payk fork thek screening,k thenk therek isk nok associatedk risk."
ANS:k B
Examinationk findingsk relativektok oncologyk patientsk andkneoplastick growthk manifestk askvisib
lek lesions,k physical kasymmetry,k palpablekmasses,k abnormalksoundskork thek presencek ofk bl
oodk onk screeningk tests.k Akbloodk pressurek ofk 130/88k iskwithinknormalkrangek askiskaknegative
k guaiack test.k Observation k ofk ak previouskgoiterk whichkiskconsistentk withkak priork admissionk isk
notk ak concern.k Thek detectionk ofk physicalkasymmetryk ask seenk byk ak differencek ink circumfere
ncek shouldk bek reportedk tok thek physician.k -
k 10.k A k nursek iskreviewing kassessmentk findingskfork akfemalekpatientk admitted k tokthek oncolog
yk unit.k Whichk findingk shouldk alertk thek nursek tok contactk thek physician?
a. Bloodk pressurek 130/88
b. Noticeablek differencek ink circumferencek ofk lowerk legs
c. Presencek ofk goiterk previouslyk identifiedk onk priork admission
d. Negativek guaiack test
ANS:k B
Ak 10-
poundk weightk losskink1k monthkcouldkindicatek cancerk ork mayk bek ank indicationk ofk furtherk pro
gressionk ofk memoryk loss.k Depressionk iskalsokanotherk commonk causek ofk weightk loss.k Thek
usek ofk ak markedk pillboxk andk planningk byk thek familyk fork 24-
hourk carek arek appropriatek fork thisk patient.k Itk isknotk unusualkthatk ank olderk patientk wouldk hav
ek friendsk whok havek died.k -
k 1.k Thek homek carek nursekiskreviewing kankolderkpatientk diagnosed kwithk mildkcognitive k impai
rmentk (MCI)k ink thek homek setting.k Whichk informationk isk ofk concern?
a. Thek patient'sk sonk usesk ak markedk pillboxk tok setk upk thek patient'sk medicationsk weekly.
b. Thek patientk hask lostk 10k poundsk (4.5k kg)k duringk thek lastk month.
c. Thek patientk isk caredk fork byk ak daughterk duringk thek dayk andk staysk withk ak sonk atk night.
d. Thek patientk tellsk thek nursek thatk ak closek friendk recentlyk died.
ANS:k D
Thisk patientk isk atkank increasedkriskk fork sarcopeniakandkshouldkbekinstructedk tok increasekact
ivityk thatk includesk strengthk trainingk tokpreventk musclekloss.k Dietk isk notk indicated.k Ak BMIk ofk
31k isk consideredk obese;k however,k thisk patientk doesk notk qualifyk fork surgical k intervention
untilk BMIk reachesk overk 35.k -k 2.k Thek nursek isk assistingk ak 79-year-
oldk patientk withk informationk aboutk dietk andkweightk loss.k Thekpatientkhaskakbodykmassk inde
xk (BMI)k ofk 31.k How k shouldk thek nursek instructk thisk patient?
a. "Yourk weightk iskwithinknormalklimits.k Continuekmaintainingkwithkcurrentk lifestylekc
hoices."
b. "Youk arek ak littlek overweight.k Cutk downk onk calorieskandkincreasekyourkactivity,k andkyouk s
houldk bek fine."
c. "Youk arek morbidlyk obese,k andk wek wouldklikektok schedulek youk ank appointmentk tok speakkw
ithk ak bariatrick specialistk aboutk surgery."
