The nurse provides care for several clients who have obesity. Which client's obesity is most likely to resolve with medication?

An obese client whose parents and siblings are not obese

A client with long-standing obesity who has recently been diagnosed with type 2 diabetes

A client whose obesity has been attributed to a reversible endocrine disorder like hypothyroidism

A client whose obesity is characterized as android rather than gynoid

Answer and Explanation

The Correct Answer is C

Choice A reason: An obese client whose parents and siblings are not obese may have obesity due to environmental or behavioral factors, such as diet, physical activity, or stress. Medication may not be effective for this type of obesity, and lifestyle changes may be more appropriate.

Choice B reason: A client with long-standing obesity who has recently been diagnosed with type 2 diabetes may have obesity due to insulin resistance, which impairs the body's ability to use glucose and increases fat storage. Medication may help with glucose control, but it may not resolve the obesity. The client may also need to follow a diabetic diet and exercise regimen.

Choice C reason: A client whose obesity has been attributed to a reversible endocrine disorder like hypothyroidism may have obesity due to hormonal imbalance, which affects the metabolism and energy expenditure. Medication may be effective for this type of obesity, as it can restore the normal function of the thyroid gland and increase the metabolic rate.

Choice D reason: A client whose obesity is characterized as android rather than gynoid may have obesity due to genetic or gender factors, such as the distribution of fat in the upper body or the influence of male hormones. Medication may not be effective for this type of obesity, and the client may benefit from other interventions such as surgery or counseling.

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Correct Answer is C

Explanation

Choice A reason: Pale yellow is the normal color of urine, indicating adequate hydration and no bilirubin in the urine. Bilirubin is a pigment that is produced when red blood cells are broken down. It is normally excreted in the bile, but if the bile duct is obstructed, it can accumulate in the blood and urine, causing jaundice and dark urine.

Choice B reason: Red urine can indicate blood in the urine, which can be caused by various conditions such as urinary tract infection, kidney stones, trauma, or cancer. It is not related to bile duct obstruction or cholecystitis.

Choice C reason: Greenish-brown urine can indicate bilirubin in the urine, which can be caused by bile duct obstruction or liver disease. It is a sign of cholestasis, which is a reduced or stopped flow of bile. The nurse should monitor the client for other signs of cholestasis such as jaundice, clay-colored stools, pruritus, and abdominal pain.

Choice D reason: Dark and concentrated urine can indicate dehydration, which can be caused by various factors such as fluid loss, fever, vomiting, or diarrhea. It is not related to bile duct obstruction or cholecystitis.

A. Fried chicken B. Nonfat milk C. Bananas D. Oatmeal

Correct Answer is A

Explanation

Choice A reason: Fried chicken is a food that the nurse should tell the client to avoid eating. Fried chicken is high in fat, which can trigger or worsen the symptoms of GERD. Fat can relax the lower esophageal sphincter, which is the muscle that prevents the stomach acid from flowing back into the esophagus. Fat can also delay the stomach emptying, which can increase the pressure and acid production in the stomach.

Choice B reason: Nonfat milk is not a food that the nurse should tell the client to avoid eating. Nonfat milk is low in fat, which can help prevent or reduce the symptoms of GERD. Nonfat milk can also provide calcium and protein, which are essential nutrients for the client's health.

Choice C reason: Bananas are not a food that the nurse should tell the client to avoid eating. Bananas are low in acid, which can help neutralize the stomach acid and soothe the esophagus. Bananas are also rich in fiber, which can promote digestion and prevent constipation.

Choice D reason: Oatmeal is not a food that the nurse should tell the client to avoid eating. Oatmeal is a whole grain that is low in fat and high in fiber, which can help prevent or reduce the symptoms of GERD. Oatmeal can also absorb the excess acid in the stomach and prevent it from refluxing into the esophagus.

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The nurse provides care for several clients who have obesity. Which client's obesity is most likely to resolve with medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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