RNSG MISC: PU48 WITH EXPLAINED
CORRECT ANSWERS
Question 1
Which of the following medications used for obesity improves cardiovascular
disease risk factors in obese patients with metabolic syndrome?
You Selected:
•
Rimonabant (Acomplia)
Correct response:
•
Rimonabant (Acomplia)
Explanation:
Acomplia is the newest medication used to treat obesity. It stimulates weight
reduction and improves cardiovascular disease risk factors in obese patients
with metabolic syndrome. Meridia was recently pulled from the market
because of the increased risk of heart attack and stroke associated with this
medication. Orlistat, available by prescription and over the counter as Alli,
reduces caloric intake by binding to gastric and pancreatic lipase to prevent
digestion of fats.
Question 2
A client has gained 55 lb in the last 3 years and is concerned about
developing type 2 diabetes mellitus. Additionally, the client's healthcare
provider has diagnosed metabolic syndrome. What are the conditions which
contribute to developing metabolic syndrome? Select all that apply.
You Selected:
•
elevated blood glucose levels
•
abdominal obesity
, RNSG MISC: PU48 WITH EXPLAINED
CORRECT ANSWERS
Correct response:
•
abdominal obesity
•
elevated blood glucose levels
Explanation:
Metabolic syndrome includes obesity, especially in the abdominal area; high
blood pressure (BP); elevated triglyceride, low-density lipoprotein (LDL), and
blood glucose levels; and a low high-density lipoprotein (HDL) level.
, RNSG MISC: PU48 WITH EXPLAINED
CORRECT ANSWERS
Question 3
A nurse cares for a client with a BMI of 36 kg/m2 and nonalcoholic fatty liver
disease. The client asks the nurse if he is a candidate for bariatric surgery.
How should the nurse respond to the client?
You Selected:
•
"Yes, your BMI and chronic condition meets the criteria for bariatric
surgery."
Correct response:
•
"Yes, your BMI and chronic condition meets the criteria for bariatric
surgery."
Explanation:
The client's BMI of > 35 kg/m2 and a more severe obesity-associated
comorbid condition, makes the client a candidate for bariatric surgery.
Question 4
A client is scheduled for a Roux-en-Y bariatric surgery. When teaching the
client about the surgical procedure, which statement will the nurse use?
You Selected:
•
"The stomach is stapled to create a very small pouch and part of
the small intestine is rerouted."
Correct response:
•
"The stomach is stapled to create a very small pouch and part of
, RNSG MISC: PU48 WITH EXPLAINED
CORRECT ANSWERS
the small intestine is rerouted."
CORRECT ANSWERS
Question 1
Which of the following medications used for obesity improves cardiovascular
disease risk factors in obese patients with metabolic syndrome?
You Selected:
•
Rimonabant (Acomplia)
Correct response:
•
Rimonabant (Acomplia)
Explanation:
Acomplia is the newest medication used to treat obesity. It stimulates weight
reduction and improves cardiovascular disease risk factors in obese patients
with metabolic syndrome. Meridia was recently pulled from the market
because of the increased risk of heart attack and stroke associated with this
medication. Orlistat, available by prescription and over the counter as Alli,
reduces caloric intake by binding to gastric and pancreatic lipase to prevent
digestion of fats.
Question 2
A client has gained 55 lb in the last 3 years and is concerned about
developing type 2 diabetes mellitus. Additionally, the client's healthcare
provider has diagnosed metabolic syndrome. What are the conditions which
contribute to developing metabolic syndrome? Select all that apply.
You Selected:
•
elevated blood glucose levels
•
abdominal obesity
, RNSG MISC: PU48 WITH EXPLAINED
CORRECT ANSWERS
Correct response:
•
abdominal obesity
•
elevated blood glucose levels
Explanation:
Metabolic syndrome includes obesity, especially in the abdominal area; high
blood pressure (BP); elevated triglyceride, low-density lipoprotein (LDL), and
blood glucose levels; and a low high-density lipoprotein (HDL) level.
, RNSG MISC: PU48 WITH EXPLAINED
CORRECT ANSWERS
Question 3
A nurse cares for a client with a BMI of 36 kg/m2 and nonalcoholic fatty liver
disease. The client asks the nurse if he is a candidate for bariatric surgery.
How should the nurse respond to the client?
You Selected:
•
"Yes, your BMI and chronic condition meets the criteria for bariatric
surgery."
Correct response:
•
"Yes, your BMI and chronic condition meets the criteria for bariatric
surgery."
Explanation:
The client's BMI of > 35 kg/m2 and a more severe obesity-associated
comorbid condition, makes the client a candidate for bariatric surgery.
Question 4
A client is scheduled for a Roux-en-Y bariatric surgery. When teaching the
client about the surgical procedure, which statement will the nurse use?
You Selected:
•
"The stomach is stapled to create a very small pouch and part of
the small intestine is rerouted."
Correct response:
•
"The stomach is stapled to create a very small pouch and part of
, RNSG MISC: PU48 WITH EXPLAINED
CORRECT ANSWERS
the small intestine is rerouted."
