Chapter 81: Drugs for Obesity

Chapter 81: Drugs for Obesity

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. The nurse at a public health clinic is assessing a patient’s risks for heart disease. A patient who has a BMI of 28 would require which intervention?

a.	No intervention is indicated; the patient’s BMI is within normal limits.
b.	The patient should be instructed in methods for gaining weight
c.	The patient should be educated about weight reduction.
d.	The patient should be referred for surgical intervention for extreme obesity.

 

 

ANS:   C

A BMI of 30 or higher indicates obesity. A BMI of 25 to 29.9 indicates that the patient is overweight.

The patient’s BMI is within the range of being overweight.

The patient is neither underweight nor obese.

 

DIF:    Cognitive Level: Analysis                  REF:    pp. 962-964

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential

 

2. The nurse is working with a group of obese patients. One states, “My goal is to reduce my weight from 280 pounds to 230 pounds in the first 6 months.” What response by the nurse would be most appropriate for this patient?

a.	“That is a realistic goal for your weight-reduction program.”
b.	“Because most weight loss occurs in the first 6 months, you should aim for 200 pounds.”
c.	“Weight loss of more than 20 pounds in 6 months could be dangerous.”
d.	“Safe and maintainable weight loss should be about 10% of body weight in 6 months.”

 

 

ANS:   D

Safe and maintainable weight loss should be about 10% of body weight in 6 months.

A loss of 50 pounds in 6 months is unrealistic for this patient.

Advising the patient to aim for a weight loss of 200 pounds in the first 6 months is less realistic than a reduction of 50 pounds and may actually harm the patient.

Weight loss of more than 20 pounds in 6 months is not dangerous, because it falls within the guideline of 10% of body fat (ie, 28 pounds for this patient).

 

DIF:    Cognitive Level: Application             REF:    p. 962

TOP:    Nursing Process: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential

 

3. The nurse is caring for an obese patient who is tearful and wants diet pills to control the weight. Select the most appropriate response by the nurse.

a.	“Let’s begin with a comprehensive diet, exercise, and behavior management program.”
b.	“Drugs are the cornerstone of an effective weight-loss program for people who are obese rather than just overweight.”
c.	“Drugs are indicated only for patients who have no health risks from their obesity.”
d.	“Drugs produce an excessively rapid weight loss, which could be hazardous to your heart.”

 

 

ANS:   A

A comprehensive diet, exercise, and behavior management program is most appropriate course. Drugs can be used as an adjunct to diet and exercise, but only for people who have an increased health risk and only after a 6-month program of diet and exercise.

Drugs are not the cornerstone of an effective weight-loss program.

Drugs are not indicated only for patients who have no health risks from obesity.

Drugs do not produce an excessively rapid weight loss in everyone. Everyone reacts to medications differently, and what works for one patient may not work for another.

 

DIF:    Cognitive Level: Application             REF:    p. 964

TOP:    Nursing Process: Planning

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential

 

4. Candidates for the use of sibutramine (Meridia) who have no other risk factors should have a BMI of at least

a.	25.
b.	27.
c.	30.
d.	35.

 

 

ANS:   C

In the absence of other risk factors, candidates for the use of sibutramine should have a BMI of 30 or higher.

If other risk factors are present, such as hypertension, diabetes, or hyperlipidemia, candidates for the use of sibutramine should have a BMI of 27 or higher.

 

DIF:    Cognitive Level: Application             REF:    pp. 965-966

TOP:    Nursing Process: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies