The nurse is caring for a client whose BMI is 35 kg/m². Which condition(s) is/are the client at greatest risk of developing? Select all that apply.

Duodenal ulcers.

Hyperlipidemia.

Hypertension.

Atherosclerosis.

Stomatitis.

Answer and Explanation

Correct Answer : B,C,D

A. Duodenal ulcers: There is no direct link between elevated BMI and duodenal ulcers. Ulcers are more commonly associated with H. pylori infection, NSAID use, or stress-related factors rather than obesity.

B. Hyperlipidemia: Obesity is strongly associated with abnormal lipid metabolism, increasing the risk of elevated cholesterol and triglyceride levels. Hyperlipidemia contributes to cardiovascular disease and is a common comorbidity in clients with a BMI ≥30 kg/m².

C. Hypertension: Excess body weight increases vascular resistance and cardiac workload, placing obese clients at higher risk for developing hypertension. Elevated blood pressure is a major obesity-related health concern.

D. Atherosclerosis: Chronic hyperlipidemia and hypertension associated with obesity accelerate plaque formation in arteries. Clients with a high BMI are at increased risk for atherosclerotic cardiovascular disease.

E. Stomatitis: There is no established association between obesity and inflammation of the oral mucosa. Stomatitis is usually related to infections, medications, or nutritional deficiencies.

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Correct Answer is B

Explanation

A. Intubation tray: An intubation tray is necessary if the client experiences airway compromise or respiratory failure, but it does not directly address complications from an ineffective thoracentesis, such as persistent pneumothorax or pleural effusion.

B. Chest tube insertion tray: If the thoracentesis is ineffective and the pleural space continues to fill or air accumulates, a chest tube may be required to drain fluid or air and re-expand the lung. Having a chest tube tray ready ensures rapid intervention for these potential complications.

C. Crash cart: A crash cart is essential for emergencies involving cardiac or respiratory arrest, but it is not the first-line equipment for an ineffective thoracentesis unless the client acutely decompensates.

D. Ventilator: Mechanical ventilation may be required for severe respiratory failure, but it is not an immediate bedside intervention for an unsuccessful thoracentesis. The priority is to remove fluid or air from the pleural space.

A. Hydrocortisone. B. Potassium chloride. C. Broad spectrum antibiotic. D. Regular insulin.

Correct Answer is A

Explanation

A. Hydrocortisone: The client is experiencing an Addisonian (adrenal) crisis, evidenced by weakness, confusion, dehydration, hyponatremia, hyperkalemia, and hypoglycemia. Intravenous hydrocortisone provides the deficient cortisol necessary to stabilize electrolytes, improve vascular tone, and support glucose regulation.

B. Potassium chloride: Although the client’s potassium is elevated, administering potassium would worsen hyperkalemia. The priority is treating the underlying adrenal insufficiency rather than directly correcting potassium at this stage.

C. Broad spectrum antibiotic: There is no evidence of a bacterial infection causing the crisis; the client’s acute illness is a viral infection, and antibiotics would not address adrenal insufficiency. Antibiotics may be considered only if a bacterial infection is confirmed.

D. Regular insulin: Insulin lowers blood glucose and potassium, but this client is hypoglycemic and hyperkalemic due to adrenal crisis. Administering insulin would exacerbate hypoglycemia and is contraindicated in this scenario.

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The nurse is caring for a client whose BMI is 35 kg/m². Which condition(s) is/are the client at greatest risk of developing? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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