A woman comes to the clinic to talk about weight reduction. The primary care nurse practitioner (NP) calculates a body mass index (BMI) of 28 . The woman's waist measures 34 inches
The woman tells the NP that she would like to lose 20 lb for her daughter's wedding in 6 months. The NP should: a. suggest she try over-the-counter (OTC) orlistat.
b. consider prescribing phentermine short-term.
c. discuss her short-term and long-term weight loss goals.
d. give her information about physical activity and diet modification.
C
This woman's BMI is in the moderate range for overweight, and her waist circumference is 34, which is not diagnostic for metabolic syndrome. Because her apparent motivation for losing weight is based on an upcoming event, the NP first should determine what her short-term and long-term weight loss goals are before initiating therapy. Orlistat is used long-term and would not be appropriate in this case. Phentermine should be used short-term and, because of serious risks, should be used only as adjunct therapy to lifestyle modifications. The initial intervention for weight loss is physical activity and diet modification.
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A. "No, at your age, fluctuations in your menstrual cycle are normal findings." B. "No, menopause only begins in women after the age of 55." C. "Yes, not having a period for more than 6 months is diagnostic of menopause." D. "You have to go 1 year without a menstrual period to be sure that menopause has occurred."
Two types of protein-caloric malnutrition are kwashiorkor and marasmus. Kwashiorkor results in
a. weight loss and muscle wasting. b. low levels of serum proteins, low lymphocyte count, and hair loss. c. elevated serum albumin and increased creatinine excretion in the urine. d. hyperpigmentation and a hard, easily palpated liver margin.
The nurse is caring for a postoperative patient. The nurse administers a pain medication prescribed on a prn basis by the physician. What best describes the type of intervention the nurse is demonstrating?
A) Physician-prescribed intervention B) Collaborative intervention C) Patient advocacy intervention D) Nurse-prescribed intervention
Place the following steps for hanging a new intravenous (IV) bag in the proper order (1–6).(Enter the number of each step in the proper sequence, do not use commas)
1. Remove the piercing pin. 2. Assess the IV site. 3. Remove the IV bag from the pole. 4. Hang the bag on the IV pole. 5. Stop the infusion. 6. Insert the piercing pin into the tubing port.