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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Wake all the clients and instruct them to go to dining area for medication administration: Waking all clients at once without adequate staffing may create safety risks and chaos, especially on a mental health unit where supervision is essential.
B. Allow the clients to sleep until a third staff person can assist with unit activities: Delaying medication administration could compromise timely treatment and therapeutic outcomes, making this an unsafe approach.
C. Explain to the clients that it will be necessary to cooperate until another RN arrives: While client communication is important, it does not address the immediate need for safe medication administration and supervision.
D. Ask the PN to administer medications as clients are awakened so both nurses are available: Delegating medication administration to the PN while clients are awakened in a staggered, controlled manner ensures timely delivery of medications, maintains client safety, and allows the nurse to supervise and manage the unit effectively during a staffing shortage.
Correct Answer is A
Explanation
A. This tablet clearly shows a bisecting score (a single line across the middle). This score is placed by the manufacturer to ensure that when cut, the tablet breaks evenly, and each half contains an approximately equal dose of the medication.
B. The ability to safely cut a tablet in half is indicated by the presence of a score (a line or indentation) on the tablet's surface. These tablets do not have a visible score. Cutting an unscored tablet is unsafe because it can result in uneven dosing.
C. The ability to safely cut a tablet in half is indicated by the presence of a score (a line or indentation) on the tablet's surface. These tablets do not have a visible score. Cutting an unscored tablet is unsafe because it can result in uneven dosing.
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