A nurse is caring for a client who is obese. The client is crying and states, "Everyone is staring at me because of my weight." Which of the following responses should the nurse make?

"How long have you struggled with your weight?"

"Let's discuss some weight loss strategies that might work for you."

"It sounds like you're saying that you feel uncomfortable around others."

"Have you always felt uncomfortable being overweight?"

Answer and Explanation

The Correct Answer is C

A. "How long have you struggled with your weight?" While this may provide background information, it shifts the focus to the client's weight history rather than validating their current emotional experience and distress.
B. "Let's discuss some weight loss strategies that might work for you." This response prematurely shifts to problem-solving and weight management without first addressing the client’s emotional needs or acknowledging their feelings of embarrassment and vulnerability.
C. "It sounds like you're saying that you feel uncomfortable around others." This is a therapeutic, reflective response that validates the client’s feelings and encourages them to express more about their emotional experience, fostering trust and emotional support.
D. "Have you always felt uncomfortable being overweight?" This question may come across as judgmental and focuses too much on the client's body image history rather than their current emotional experience, potentially worsening feelings of shame.

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Correct Answer is B

Explanation

A. Premature atrial complexes. These are early electrical impulses originating in the atria that cause premature heartbeats, but they do not consistently lengthen the P-R interval. The P-R interval usually remains within normal limits unless another condition is present.
B. First-degree atrioventricular (AV) block. A constant P-R interval longer than 0.20 seconds (normal range: 0.12–0.20 seconds) is characteristic of a first-degree AV block. A P-R interval of 0.35 seconds indicates a prolonged conduction delay through the AV node, consistent with this dysrhythmia.
C. Complete heart block. In complete (third-degree) heart block, there is no consistent relationship between P waves and QRS complexes, and the P-R interval is not constant. This is not consistent with a stable, prolonged P-R interval.
D. Atrial fibrillation. Atrial fibrillation is marked by irregularly irregular rhythm and absent, unidentifiable P waves, not a consistent P-R interval. The atria are quivering, not contracting in a coordinated way.

A. Vital signs B. Prescribed diet C. Skin appearance D. Blood glucose level E. WBC count

Correct Answer is ["A","C","D"]

Explanation

A. Vital signs. The client has a significantly elevated heart rate (110/min) and elevated blood pressure (178/82 mm Hg), both of which can be associated with autonomic responses in dumping syndrome. The dizziness and desire to lie down after eating are also classic symptoms. These signs reflect the body’s reaction to rapid gastric emptying and fluid shifts.
B. Prescribed diet. While a bland, soft diet is generally safe post-gastrectomy, it may not prevent dumping syndrome unless it includes specific modifications like low carbohydrate intake and small, frequent meals. However, this option alone does not directly indicate dumping syndrome.
C. Skin appearance. The client is noted to be diaphoretic and pale, which are common symptoms of dumping syndrome due to the vasomotor response and hypoglycemia that can follow rapid gastric emptying.
D. Blood glucose level. The client's fasting blood glucose dropped to 65 mg/dL, which is below the normal range. Hypoglycemia is a hallmark of late dumping syndrome, resulting from excessive insulin release after rapid carbohydrate absorption in the small intestine.
E. WBC count. The WBC count is within normal range (9,000/mm³) and does not indicate dumping syndrome or an infectious process. It is not relevant in this context.

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A nurse is caring for a client who is obese. The client is crying and states, "Everyone is staring at me because of my weight." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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