Which statement made by the nurse to a 14-year-old extremely obese teenager is most likely to motivate him to lose weight?

"Most of the weight you will lose at first is water rather than fat."

"You will need to change your diet and exercise habits permanently in order to lose any weight."

"You will decrease your risk for future health problems like atherosclerosis by losing weight now."

"You will probably begin to notice changes in how you feel with just a few weeks of diet and exercise."

Answer and Explanation

The Correct Answer is D

D. "You will probably begin to notice changes in how you feel with just a few weeks of diet and exercise.": This statement focuses on short-term benefits of weight loss, such as improvements in energy levels, mood, and overall well-being. Teenagers may be more motivated by immediate or short-term results rather than long-term outcomes. Feeling better quickly can provide positive reinforcement and encouragement to continue with healthy habits.
A.   Water weight loss may not lead to significant changes in appearance or health outcomes, which are often key motivators for weight loss.
B.   This statement emphasizes the importance of making lasting lifestyle changes for successful weight loss, which is a key concept for long-term success. However, it may sound daunting or overwhelming to a teenager.
C.   Connecting weight loss to long-term health outcomes is unlikely to motivate some teenagers. This is because most teenagers feel immune to most chronic illnesses.

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Correct Answer is C

Explanation

A. This statement reflects an understanding that medications such as orlistat are typically prescribed as an adjunct to lifestyle changes, including diet and exercise. It is important for clients to attempt lifestyle modifications before resorting to medication for weight loss. Therefore, this statement demonstrates appropriate knowledge.
B. Orlistat, a medication used for weight loss, can cause gastrointestinal side effects such as oily spotting, flatulence with discharge, fecal urgency, and oily or fatty stools.
C. Orlistat is not typically used as a long-term treatment for weight loss. It is usually prescribed for a limited duration to aid in initial weight loss efforts or to help maintain weight loss achieved through lifestyle modifications.
D. Orlistat has been shown to lead to modest weight loss in clinical studies, typically ranging from about 6-11 pounds (2.7-5 kg) over 6-12 months when used in conjunction with lifestyle modifications. However, individual weight loss outcomes can vary, and it is important for clients to have realistic expectations regarding the effectiveness of weight loss medications.

A. the onset of the disease at age 19. B. intermittent abdominal pain and cramping. C. weight loss. D. bloody diarrhea 15-20 times per day.

Correct Answer is D

Explanation

D. Bloody diarrhea is a hallmark symptom of ulcerative colitis, particularly during disease flares. It typically presents as frequent and urgent bowel movements containing blood, mucus, and pus. Crohn's disease, on the other hand, may present with bloody diarrhea but usually involves less frequent bowel movements.
A. Both ulcerative colitis and Crohn's disease can manifest at various ages, including during adolescence and early adulthood.
B. Abdominal pain and cramping are common symptoms of both ulcerative colitis and Crohn's disease.
C. Weight loss can occur in both ulcerative colitis and Crohn's disease due to factors such as decreased appetite, malabsorption, and inflammation of the gastrointestinal tract.

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Which statement made by the nurse to a 14-year-old extremely obese teenager is most likely to motivate him to lose weight?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse recognizes that the client requires additional teaching when he states, "Drugs like orlistat will:

Correct Answer is C

Explanation

While obtaining a nursing history from a client with inflammatory bowel disease, the nurse recognizes that the client most likely has ulcerative colitis rather than Crohn's disease when the client reports experiencing:

Correct Answer is D

Explanation

The nurse is caring for a client who has acute gastritis due to food poisoning. The client is experiencing nausea and vomiting. The nurse would question which of the following medications, if ordered?

A client newly diagnosed with Crohn's disease asks the nurse what to expect in the future. The best response by the nurse would be:

The nurse understands that the Intervention proven to provide the most sustained weight loss in the extremely obese population is:

A nurse is caring for a client diagnosed with a paralytic ileus. What would be an expected assessment finding?

Which of the following is a common symptom of ulcerative colitis?

The nurse identifies a client problem of impaired skin integrity related to diarrhea for a client who has ulcerative colitis. The nurse recognizes that teaching about perianal care has been effective when the client:

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