Explain the rationale behind the VLCD
One reason it is so difficult for individuals of this size to lose weight is the that the slow weight loss on standard diets is discouraging. On a VLCD diet, with the proper supervision by an RD, MD, psychologist, and exercise physiologist, weight loss of 3 - 5 lbs per week the first few weeks can be obtained. This will help to motivate the patient and can cause an effective improvement in blood glucose, lipid values and blood pressure1,2,3 . Additionally, most of these programs remove the subjects from all solid food and instead provide nutritionally balanced liquids that are low in kcals. The psychologist teaches the patient how to develop a new lifestyle while the nutritionist reinforces this with additional instruction in nutrition, cooking methods, and eating behavior, etc. During this time the exercise physiologist is teaching the patient an exercise program and the MD is routinely examining him and monitoring blood and urine analyses.
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A patient has arrived at the emergency department via ambulance. The EMT states, "She is barely responsive. She took all of the Ativan in this bottle." What medication should the nurse prepare to administer to the patient?
A) Naloxone (Narcan) B) Physostigmine (Antilirium) C) Methylene blue D) Flumazenil (Romazicon)
While conducting a health history, a client states, "I am healthy, I don't know why I have to be here to get a check-up."
However, the client reports, type 2 diabetes mellitus and an unhealed ulcer on the left foot. Based on this information, which statement by the nurse is the most appropriate? 1. "I feel that you are in denial about your health status." 2. "Tell me about your definition of being healthy." 3. "Do you understand what diabetes is?" 4. "Is there anything else you are not telling me?"
The nurse is preparing a staff in-service program related to restless legs syndrome (RLS). Which potential risk factors of this syndrome does the nurse include? (Select all that apply.)
a. Skin rashes b. Polyneuropathies c. Muscle atrophy d. Diabetes mellitus type 2 e. Hypercalcemia
A client is seen who has a 10-year history of dependence on alcohol, caffeine, and nicotine. The client is separated from his wife and tells the nurse, "I can't get my life together
I don't eat regular meals, the apartment is a mess, and I forget to pay bills. I'm not managing." The priority nursing diagnosis for this client is: 1. Ineffective denial 2. Risk for loneliness 3. Ineffective coping 4. Powerlessness