A patient is considering surgery to treat obesity. Which factors meet established criteria for the use of surgery in the treatment of obesity? (Select all that apply.)
a. Hypertension
b. Presence of gallstones
c. Gross obesity for 5 years
d. Psychiatric and social stability
e. Body weight 50% above ideal weight
f. Failure to reduce weight with other forms of therapy
ANS: A, C, D, F
Patients who do not respond to medical methods of weight loss, who weigh 100 pounds over ideal body weight, or have a BMI over 40, or BMI over 35 with severe health effects as a result, might be candidates for surgical weight loss. Additional screening for psychiatric and social stability is required. B. E. Gallstones and percentage of body weight are not criteria for Bariatric surgery.
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When assessing the pulse of a 6-year-old boy, the nurse notices that his heart rate varies with his respiratory cycle, speeding up at the peak of inspiration and slowing to normal with expiration. The nurse's next action would be to:
a. Immediately notify the physician. b. Consider this finding normal in children and young adults. c. Check the child's blood pressure, and note any variation with respiration. d. Document that this child has bradycardia, and continue with the assessment.
A nurse is conducting a health history for a patient with a chronic respiratory problem. What question might the nurse ask to assess for orthopnea?
A) "Do you have problems breathing when you walk up stairs?" B) "Does your medication help you breathe better?" C) "How many pillows do you sleep on at night to breathe better?" D) "Tell me about your breathing difficulties since you stopped smoking."
__________ is a tumor arising from the chromaffin cells of the adrenal medulla causing the secretion of large amounts of catecholamines
Fill in the blank(s) with correct word
Which of the following needs on Maslow's hierarchy has the lowest priority?
a. Physiological needs b. Self-actualization c. Self-esteem d. Safety and security