RNSG 1430 Exemplars Test Questions and Answers All Correct

RNSG 1430 Exemplars Test Questions and Answers All Correct Obesity causes an Increased risk of developing chronic diseases - Answer-•Type 2 diabetes •Gallbladder disease •Heart disease •Hypertension •Some cancers •Sleep Apnea •Respiratory problems •Hernia •Psychological problems Obesity - Answer-•Excessively high amount of body fat or adipose tissue •Increase in body weight beyond the body's physical requirements •Caused by Genetic and biologic factors as well as environmental and psychosocial Primary obesity - Answer-excess calorie intake over energy expenditure for body's metabolic demands Secondary obesity - Answer-result from various congenital anomalies, chromosomal anomalies, metabolic problems, central nervous system lesions and disorders or drugs (corticosteroids, antipsychotics) Obesity Measured by - Answer-•Body mass index (BMI) •Waist circumference •Waist to hip ratio <35 W <40 M •Body shape apple shaped is at a bigger risk that pear shaped because - Answer-fat is sitting on top of important organs Nursing Assessment Subjective - Answer-•Time of obesity onset •Diseases related to metabolism and obesity •Medications •Surgery •Family history of obesity? •Perception of problem •Methods of weight loss attempted •Amount and frequency of eating •Overeating in response to boredom, stress, specific times, activities •Patients willingness to change Nursing Assessment: Objective - Answer-•Body mass index > 30 kg/m2, Waist circumference: Male >40" Female>35" •Increased work of breathing: wheezing; rapid, shallow breathing •Hypertension, tachycardia, dysrhythmias •Knee, hip, low back pain Nursing Assessment: •Possible diagnostic findings - Answer-•Elevated serum glucose •Elevated cholesterol •Elevated triglycerides •Abnormal liver function tests •Chest XR with enlarged heart Nursing Diagnoses for obesity - Answer-•Imbalanced Nutrition: More than body requirements •Disturbed body image •Impaired social isolation •Deficient knowledge Goals for the obese patient are: - Answer-1. Modify eating patterns 2. Participate in a regular physical activity program 3. Achieve and maintain weight loss to a specified level 4. Minimize or prevent health problems related to obesity Nursing Implementation for obesity - Answer-•Help patients understand their weight history and decide on a plan that is best for them. •Help patients deal with negative experiences •Recognize this will be a difficult process for most individuals. Nursing Implementation plan should include - Answer-•Nutritional therapy •Exercise •Behavior modification •Support groups •Sometimes drugs or surgical intervention