Nokea
Which of the following patient behaviours indicate that an overweight patient has understood the nurse's teaching about the best exercise plan for weight loss?
- A. Walking for 40 minutes 6 or 7 days/week
- B. Lifting weights with friends three times/week
- C. Playing soccer for an hour on the weekend
- D. Running for 10-15 minutes three times/week
Correct Answer: A
Rationale: Exercise should be done daily for at least 15-30 minutes. Exercising in highly aerobic activities for short bursts or only once a week is not helpful and may be dangerous in an individual who has not been exercising. Running may be appropriate, but a patient should start with an exercise that is less stressful and can be done for a longer period. Weightlifting is not as helpful as aerobic exercise in weight loss.
You may also like to solve these questions
The nurse has completed teaching a patient about the recommended amounts of foods from different food groups. Which of the following menu selections indicates that the initial instructions about healthy eating have been understood?
- A. 90 mL of pork roast, a cup of corn, tomatoes, and 125 mL rice
- B. A chicken breast and a cup of tossed salad with nonfat dressing
- C. A 180 mL can of tuna mixed with nonfat mayonnaise and chopped celery
- D. 90 mL of roast beef, 60 mL of low-fat cheese, and a half-cup of carrot sticks
Correct Answer: A
Rationale: This selection is most consistent with What is a Healthy Plate? The other choices are all missing at least one food group.
A patient who has been successfully losing 0.5 kg weekly for several months is weighed at the clinic and has not lost any weight for the last month. Which of the following actions should the nurse do first?
- A. Review the diet and exercise guidelines with the patient.
- B. Instruct the patient to weigh weekly and record the weights.
- C. Ask the patient whether there have been any changes in exercise or diet patterns.
- D. Discuss the possibility that the patient has reached a temporary weight loss plateau.
Correct Answer: C
Rationale: The initial nursing action should be assessment of any reason for the change in weight loss. The other actions may be needed, but further assessment is required before any interventions are planned or implemented.
The nurse is developing a weight loss plan for a young adult patient who is morbidly obese. Which of the following statements by the nurse is most likely to help the patient in losing weight on the planned calorie-reduced diet?
- A. It will be necessary to change lifestyle habits permanently to maintain weight loss.
- B. You will decrease your risk for future health problems such as diabetes by losing weight now.
- C. Most of the weight that you lose during the first weeks of dieting is water weight rather than fat.
- D. You are likely to start to notice changes in how you feel with just a few weeks of diet and exercise.
Correct Answer: D
Rationale: Motivation is a key factor in successful weight loss and a short-term outcome provides a higher motivation. A young adult patient is unlikely to be motivated by future health problems. Telling a patient that the initial weight loss is water will be discouraging, although this may be correct. Changing lifestyle habits is necessary, but this process occurs over time and discussing this is not likely to motivate the patient.
Which of the following surgeries places the patient at greatest risk of dumping syndrome postoperatively?
- A. Vertical banded gastroplasty
- B. Adjustable gastric banding
- C. Vertical sleeve gastrectomy
- D. Lap-Band
Correct Answer: A
Rationale: A possible complication of vertical banded gastroplasty is dumping syndrome. Dumping syndrome is not a possible complication in adjustable gastric banding, vertical sleeve gastrectomy, or Lap-Band.
Which of the following topics is of most importance for the nurse to include when teaching a patient about testing for possible metabolic syndrome?
- A. Blood glucose test
- B. Cardiac enzyme tests
- C. Postural blood pressures
- D. Resting electrocardiogram
Correct Answer: A
Rationale: A fasting blood glucose test from 4-6 mmol/L is one of the diagnostic criteria for metabolic syndrome. The other tests are not used to diagnose metabolic syndrome, although they may be used to check for cardiovascular complications of the disorder.