The nurse is preparing information for a community seminar on the hazards of obesity. Which disorders should the nurse include as being complications of obesity?
Select all that apply.
1. cardiovascular diseases
2. obstructive sleep apnea
3. diabetes mellitus type 2
4. hypotension
5. renal insufficiency
Correct Answer: 1, 2, 3
Obesity leads to atherosclerosis, which increases vascular resistance, predisposing the patient to cardiovascular diseases; respiratory airway collapse can occur during sleep in obese patients; obesity increases the risk of developing diabetes mellitus type 2 in adults. Hypertension, not hypotension, is associated with obesity. Patients who are obese are not necessarily at risk for developing renal insufficiency.
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The nurse is caring for a 69-year-old patient with a history of osteoarthritis (OA) who has just been admitted to the medical unit. The patient asks the nurse what the difference is between OA and rheumatoid arthritis (RA)
What is the best response by the nurse? A) "OA is considered a noninflammatory joint disease. RA is characterized by inflamed, swollen joints." B) " OA and RA are very similar. OA affects the smaller joints, and RA affects the larger, weight-bearing joints." C) "OA affects joints on both sides of the body. RA is usually unilateral." D) "OA is more common in women. RA is more common in men."
An older client is newly diagnosed with gastroesophageal reflux disease. What education should the nurse give them about this disease and heartburn issues?
1. If symptoms are felt, it is best to lie down. 2. It should not put the older patient at increased risk for cancer. 3. It may cause severe chest pain that mimics cardiac symptoms. 4. It is best to eat three times a day; food restrictions are not necessary.
The nurse is caring for a low-risk client in the active phase of labor. At which interval should the nurse assess the fetal heart rate?
a. Every 15 minutes b. Every 30 minutes c. Every 45 minutes d. Every 1 hour
When providing personal care to older adults, a nurse should do which of the following? Select all that apply
1. Bathe them daily. 2. Apply lotion to the skin frequently. 3. Refrain from applying lotion to the skin. 4. Keep the environment warm when giving a bath. 5. Provide frequent perineal care to incontinent patients.