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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Monitoring respiratory status for signs and symptoms of pulmonary complications is a priority nursing intervention for a client with hypervolemia. Hypervolemia is a condition where there is excess fluid in the blood vessels, which can cause fluid to leak into the lungs and impair gas exchange. The nurse should assess the client for signs of pulmonary edema, such as dyspnea, crackles, cough, and pink-tinged sputum.
Choice B reason: Encouraging the client to consume sodium-free fluids is not a priority nursing intervention for a client with hypervolemia. Sodium-free fluids may still contribute to fluid overload, especially if the client has impaired renal function or heart failure. The nurse should limit the client's fluid intake and administer diuretics as prescribed to reduce the fluid volume.
Choice C reason: Weighing dressings with a large-bore catheter is not a priority nursing intervention for a client with hypervolemia. This may be a relevant intervention for a client with hemorrhage, who may lose blood through a large-bore catheter or dressing. The nurse should monitor the client's blood pressure, pulse, and hemoglobin levels for signs of blood loss.
Choice D reason: Drawing a blood sample for typing and cross-matching is not a priority nursing intervention for a client with hypervolemia. This may be a relevant intervention for a client who needs a blood transfusion, which may be indicated for a client with anemia, trauma, or surgery. The nurse should check the client's blood type and compatibility before administering any blood products.
Correct Answer is D
Explanation
Choice A reason: This is not a correct finding for hypovolemia. Peripheral edema is the swelling of the extremities due to fluid accumulation in the interstitial spaces. It is a sign of fluid volume excess, not fluid volume deficit.
Choice B reason: This is not a correct finding for hypovolemia. Bradycardia is a slow heart rate, usually below 60 beats per minute. It is not a typical sign of fluid volume deficit, as the heart rate usually increases to compensate for the low blood pressure and low cardiac output.
Choice C reason: This is not a correct finding for hypovolemia. Hypertension is a high blood pressure, usually above 140/90 mmHg. It is not a typical sign of fluid volume deficit, as the blood pressure usually decreases due to the reduced blood volume and vascular resistance.
Choice D reason: This is a correct finding for hypovolemia. Decreased urine output is a sign of fluid volume deficit, as the kidneys try to conserve water and electrolytes by reducing the urine production. The normal urine output is about 30 mL per hour, and anything below 20 mL per hour is considered oliguria, which indicates impaired renal function.
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