Questions with 100% Correct Verified Answers |
Updated Nursing Study Guide Graded A+
Obesity BMI - correct answer✔ Higher BMI > risk for DM, CVD, HLD, HTN, OA
Modest Weight loss of 5% can reduce? - correct answer✔ Type II diabetes
Cardiovascular disease
Hypertension
Dyslipidemia
Osteoarthritis
General Goals of Weight Loss - correct answer✔ Initial goal: reduce body weight by ~10% from
baseline in 6 months
May attempt further weight loss if successful
Weight loss should be 1-2 lb per week for period of 6 months with subsequent strategies
Water Intake Guideline - correct answer✔ Water intake (1/2 your body wt in ounces; e.g., 200 #
person needs 100 ozs or 3000cc (3 L)
Beginning Calorie Goal - correct answer✔ For weight loss, a 1200 calorie meal plan for women
and a 1500 calorie meal plan for men is recommended to start
Physical Activity tips for Obesity - correct answer✔ Accumulate up to 30 minutes per day (10
Step counters (pedometers) 2000 steps=1 mile
Newer guidelines say 60 minutes daily
Average = 2000 6000 = maintain wt 10,000 = to lose wt (5 miles)
,Wt Training increases capacity to burn calories (more muscle mass & inc BMR)
Pharmacotherapy for obesity - correct answer✔ FDA approved meds may be part of
comprehensive program including diet & activity
Xenical Phentermine
Newer:
Qsymia (phentermine/topiramate)
BMI >/= 30 w/o concomitant obesity related RFs or diseases
BMI >/= 27 w/ RFs or diseases Requires continual
monitoring
Ozempic is not FDA approved for weight loss
Tobacco Prevention - correct answer✔ • Tobacco is the leading preventable cause of death
• After 40 years of progress, the decrease in adult smoking rates has stalled in the past 6 yrs
• But most people who have ever smoked have already quit, and most of today's smokers want to quit
• Progress stalled starting in 2004
SCREEN FOR RISK FACTORS
Smoking Cessation Website - correct answer✔ Clinical Practice Guideline for Treating Tobacco
Use 2008 Update [ahrq.gov]
smoking cessation aids and drugs - correct answer✔ (Zyban), Chantix, social support, & skills
training
Nicotine replacement therapy, bupropion
5 A's of tobacco cessation - correct answer✔ 1. Ask
2. Advise
,3. Assess
4. Assist
5. Arrange
Pharmacotherapies for smoking cessation - correct answer✔ Seven first-line medications (5
nicotine and 2 non-nicotine) reliably increase long-term smoking abstinence rates:Bupropion SRNicotine
gumNicotine inhalerNicotine lozengeNicotine nasal sprayNicotine patch, Varenicline (chantix)
5 R's to increase motivation to quit smoking: - correct answer✔ Relevance
Risks
Rewards
Roadblocks
Repitition
What is Health Literacy - correct answer✔ "the degree to which individuals have the capacity to
obtain, process, and understand basic health information and services needed to make appropriate
health decisions"
Malnutrition - correct answer✔ lack of proper nutrition
30-50% of hospitalized patients have some sort of poor nutrition
Marasmus malnutrition - correct answer✔ Body fat and muscle wasting
Kwashiorkor malnutrition - correct answer✔ Loss of skin turgor, loss of hair color and softness,
edema, enlarged liver and parotids
Depletion of visceral protein mass
Hamwi's method to calculate IBW - correct answer✔ Men add 106 pounds + 6 pounds for each
inch over 5 feet
Women add 100 pounds + 5 pounds for each inch over 5 feet
, Some sources suggest adding 10% for large frame person and subtracting 10% for small frame person
Skin Fold and Muscle Mass Measurements - correct answer✔ Mid arm circumference can be
used to estimate body's skeletal mass
Triceps skin fold and subscapular skin fold thickness can be used to estimate SQ fat reserves
Albumin - correct answer✔ Accurately reflects visceral protein status in absence of acute
changes in hydration or stress
3.5-5g/dl
Transferrin - correct answer✔ Beta globulin that supports iron transport into plasma
150-200 mg/mL mild protein depletion
100-149 mg/mL moderate protein depletion
Less than 100 mg/mL severe protein depletion
Subjective Global Assessment - correct answer✔ • Class A
• <5% weight loss or >5% weight loss but with recent evidence of weight gain and improved
appetite Class B
• 5-10%weight loss without recent weight gain, poor
dietary intake and mild loss of SQ fat
Class C
• Weight loss of >10% with severe loss of SQ fat and muscle wasting, often with edema
Caloric Needs - correct answer✔ 25-30 kcal/kg per day to maintain weight
35 kcal/kg to gain weight
22-25 kcal/kg to lose weight
Carbohydrates - correct answer✔ Main source of energy and should be near 35% of total
calorie intake