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 C
Explanation
Choice A reason: The upper right quadrant is not the correct location for McBurney's point. This quadrant contains the liver, gallbladder, right kidney, and part of the colon. Pain in this area may indicate problems with these organs, such as hepatitis, gallstones, or kidney infection.
Choice B reason: The upper left quadrant is not the correct location for McBurney's point. This quadrant contains the stomach, spleen, left kidney, and part of the colon. Pain in this area may indicate problems with these organs, such as gastritis, splenomegaly, or kidney stones.
Choice C reason: The lower right quadrant is the correct location for McBurney's point. This quadrant contains the appendix, right ovary, and right fallopian tube. McBurney's point is a point on the abdomen that is one-third of the distance from the right anterior superior iliac spine to the umbilicus. Pain in this area may indicate appendicitis, ovarian cyst, or ectopic pregnancy.
Choice D reason: The lower left quadrant is not the correct location for McBurney's point. This quadrant contains the sigmoid colon, left ovary, and left fallopian tube. Pain in this area may indicate problems with these organs, such as diverticulitis, ovarian torsion, or pelvic inflammatory disease.
Correct Answer is D
Explanation
Choice A reason: Mental alertness is not affected by the administration of hypertonic solutions. Hypertonic solutions are fluids that have a higher concentration of solutes than the blood. They draw water out of the cells and into the blood vessels, increasing the blood volume and osmolarity.
Choice B reason: Decreased pulse is not a result of administering hypertonic solutions too quickly. On the contrary, hypertonic solutions can increase the pulse rate as they increase the blood volume and pressure.
Choice C reason: Decreased blood pressure is not a consequence of administering hypertonic solutions too quickly. Hypertonic solutions can raise the blood pressure as they increase the blood volume and osmolarity.
Choice D reason: Fluid overload is the correct answer. Administering hypertonic solutions too quickly can cause fluid overload, which is a condition where the body has too much fluid in the blood vessels. This can lead to symptoms such as edema, dyspnea, crackles, and weight gain. Fluid overload can also cause heart failure, pulmonary edema, and cerebral edema.
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