A 40-year-old patient has a body mass index that classifies him as being severely obese. For several months, the patient has been working with an interdisciplinary team in an effort to lose weight, but he has experienced nominal success
His physician has proposed the use of orlistat, and the nurse has conducted appropriate health education. What statement by the patient indicates a need for further teaching? A) "They explained to me that I have to take the medicine with my meals."
B) "I'm excited that I won't have to cut down on my favorite fried foods anymore."
C) "It still amazes me that you can take a pill that will actually help you lose weight."
D) "If I understand correctly, these pills will help me lower my cholesterol as well as lose weight."
B
Feedback:
It is necessary to decrease consumption of high-fat foods when taking orlistat because total caloric intake is a major determinant of weight, and adverse effects (e.g., diarrhea; fatty, malodorous stools) worsen with consumption of a large amount of fat. The patient's other listed statements are accurate.
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A) Processes during fetal neurodevelopment may have resulted in schizophrenia. B) Patterns of ineffective coping are likely to have culminated in schizophrenia. C) Childhood trauma is likely the major contributing factor to the boy's disease. D) The presence of multiple personalities is among the root causes of schizophrenia.
A patient has just been diagnosed with gastric cancer. The nurse is taking a history on this patient. What would be an important question to ask?
A) What is the patient's smoking and alcohol history? B) What is the patient's work history? C) What is the patient's level of fatigue? D) What is the family history of smoking and alcohol use?
Which of the following agents would be most appropriate to use as a bronchodilator in a client with heart disease?
a. terbutaline (Brethine) c. epinephrine b. isoproterenol (Isuprel) d. propranolol
A medication dose of 75,000 units/125 mL is to infuse in 90 minutes. Calculate the flow rate in gtt/min using a microdrip calibrated at 60 gtt/mL
What will be an ideal response?