HONDROS NUR 212 EXAM 3 VERIFIED TEST
PAPER QUESTIONS AND SOLUTIONS
◉ Nutritional therapy for obesity.
Answer: Restricting dietary intake so that it is below energy
requirements- includes all food groups
◉ Criteria guidelines for bariatric surgery.
Answer: BMI of 40 or more or a BMI of 35 or more with other
significant co-morbidities (HTN, T2DM, HF, sleep apnea)
◉ Disadvantages of Roux-en-Y gastric bypass.
Answer: Leak at site of anastomosis, anemia, calcium deficiency,
dumping syndrome, irreversible
◉ Dumping syndrome.
Answer: Gastric contents empty too rabidly into the small intestine,
overwhelming its ability to digest nutrients. Symptoms include n/v,
weakness, sweating, faintness and sometimes diarrhea. Pt is
instructed to avoid sugary foods after surgery
◉ Anastomosis leak.
Answer: tachycardia, fever, tachypnea, chest and abdominal pain
,◉ Post operative care for bariatric surgery.
Answer: assess for cardiopulmonary complications, thrombus
formation, anastomosis leaks and electrolyte imbalances, maintain
the head of the bed at a minimum of a 45 degree angle to reduce
abdominal pressure and increase lung expansion, pts should not
consume fluids with meals
◉ Metabolic syndrome definiton.
Answer: is a group of metabolic risk factors that increase a person's
change of developing CVD, stroke, diabetes. It is a cluster of heath
problems, including obesity, HTN, abnormal lipid levels, and high
blood glucose
◉ The main underlying risk factor for metabolic syndrome.
Answer: Insulin resistance related to excess visceral fat
◉ Criteria for metabolic syndrome.
Answer: Need any 3 of the 5- waist circumference- >40in in men and
>35 in women, Triglycerides- >150 or on drug treatment for high
triglycerides, HDL cholesterol- <40 in men <50 in women or drug
treatment for high cholesterol, BP- >130 sys >85 diastolic or on drug
treatment for HTN, fasting blood glucose >100 or on drug treatment
for elevated blood glucose
, ◉ Signs and symptoms of metabolic syndrome.
Answer: Impaired fasting blood glucose, HTN, abnormal cholesterol
levels and obesity
◉ counterregulatory hormones- increase blood glucose levels.
Answer: glucagon, epinephrine, GH, cortisol
◉ C peptide in serum and urine.
Answer: useful clinical indicator of pancreatic b cell function and
insulin levels
◉ Signs and symptoms of type 1 diabetes.
Answer: polyuria, polydipsia, polyphagia, weight loss may occur,
weakness and fatigue
◉ signs and symptoms of type 2 diabetes.
Answer: poor wound healing, recurrent infections, dry skin, 3 Ps,
drowsiness, hunger
◉ Diagnosis of diabetes.
Answer: A1C of 6.5 or higher, fasting plasma glucose level of 126 or
greater, a 2 hour plasma glucose level of 200 or greater during an
OGTT using a glucose load of 75g, in a pt with classic symptoms of
PAPER QUESTIONS AND SOLUTIONS
◉ Nutritional therapy for obesity.
Answer: Restricting dietary intake so that it is below energy
requirements- includes all food groups
◉ Criteria guidelines for bariatric surgery.
Answer: BMI of 40 or more or a BMI of 35 or more with other
significant co-morbidities (HTN, T2DM, HF, sleep apnea)
◉ Disadvantages of Roux-en-Y gastric bypass.
Answer: Leak at site of anastomosis, anemia, calcium deficiency,
dumping syndrome, irreversible
◉ Dumping syndrome.
Answer: Gastric contents empty too rabidly into the small intestine,
overwhelming its ability to digest nutrients. Symptoms include n/v,
weakness, sweating, faintness and sometimes diarrhea. Pt is
instructed to avoid sugary foods after surgery
◉ Anastomosis leak.
Answer: tachycardia, fever, tachypnea, chest and abdominal pain
,◉ Post operative care for bariatric surgery.
Answer: assess for cardiopulmonary complications, thrombus
formation, anastomosis leaks and electrolyte imbalances, maintain
the head of the bed at a minimum of a 45 degree angle to reduce
abdominal pressure and increase lung expansion, pts should not
consume fluids with meals
◉ Metabolic syndrome definiton.
Answer: is a group of metabolic risk factors that increase a person's
change of developing CVD, stroke, diabetes. It is a cluster of heath
problems, including obesity, HTN, abnormal lipid levels, and high
blood glucose
◉ The main underlying risk factor for metabolic syndrome.
Answer: Insulin resistance related to excess visceral fat
◉ Criteria for metabolic syndrome.
Answer: Need any 3 of the 5- waist circumference- >40in in men and
>35 in women, Triglycerides- >150 or on drug treatment for high
triglycerides, HDL cholesterol- <40 in men <50 in women or drug
treatment for high cholesterol, BP- >130 sys >85 diastolic or on drug
treatment for HTN, fasting blood glucose >100 or on drug treatment
for elevated blood glucose
, ◉ Signs and symptoms of metabolic syndrome.
Answer: Impaired fasting blood glucose, HTN, abnormal cholesterol
levels and obesity
◉ counterregulatory hormones- increase blood glucose levels.
Answer: glucagon, epinephrine, GH, cortisol
◉ C peptide in serum and urine.
Answer: useful clinical indicator of pancreatic b cell function and
insulin levels
◉ Signs and symptoms of type 1 diabetes.
Answer: polyuria, polydipsia, polyphagia, weight loss may occur,
weakness and fatigue
◉ signs and symptoms of type 2 diabetes.
Answer: poor wound healing, recurrent infections, dry skin, 3 Ps,
drowsiness, hunger
◉ Diagnosis of diabetes.
Answer: A1C of 6.5 or higher, fasting plasma glucose level of 126 or
greater, a 2 hour plasma glucose level of 200 or greater during an
OGTT using a glucose load of 75g, in a pt with classic symptoms of
