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Nursing of Adults I > Chapter 45: Obesity > Flashcards

Chapter 45: Obesity Flashcards

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1
Q

ten cancers most strongly linked to excess body fat

A

breast, colorectal, endometrial, esophagus, gallbladder, kidney, liver, ovarian, stomach, thyroid

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2
Q

type of restrictive surgery for obesity in which the size of the stomach is reduced by folding the stomach wall inward and then placing sutures to secure the folded stomach wall

A

gastric plication

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3
Q

combination of restrictive and malabsorptive surgery for obesity that involves creating a small gastric pouch and attaching it directly to the small intestine using a Y-shaped limb of the small bowel

A

roux-en-Y gastric bypass (RYGB)

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4
Q

postoperative bariatric surgery: at first, patient is _______ and tested to ensure no leak from ______________

A

NPO, anastomosis

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5
Q

most Jackson-Pratt drains will be discontinued when drainage is <___ cc per day

A

30

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6
Q

android (apple) or gynoid (pear) shape: health risks: subcutaneous fat traps and stores fat

A

gynoid (pear)

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7
Q

postoperative bariatric surgery: when first starting back on diet, start with ____ mL of clear liquids with _____ sugar every _______ minutes, then gradually increase intake to goal of _____ mL every _____ minutes, then progress to __________ full liquid

A

15, low, 10-15, 90, 30, low-calorie

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8
Q

with adjustable gastric banding, ________ is common, so patient should learn about what to eat, eat _______, and add extra _________ to diet

A

reflux, slowly, vitamins

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9
Q

healthy weight loss is _____ lbs per week

A

1-2

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10
Q

as people age, basal metabolic rate (increases, decreases)

A

decreases

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11
Q

android (apple) or gynoid (pear) shape: health risks: hypertension

A

android (apple)

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12
Q

overeating develops (early, late) in life and alters ________

A

early, satiety

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13
Q

android (apple) or gynoid (pear) shape: fat mainly in upper legs

A

gynoid (pear)

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14
Q

cause of primary obesity

A

intaking more calories than energy expenditure

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15
Q

android (apple) or gynoid (pear) shape: health risks: decreased HDL cholesterol

A

android (apple)

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16
Q

android (apple) or gynoid (pear) shape: health risks: heart disease

A

android (apple)

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17
Q

preoperative care before bariatric surgery includes identifying any ______________, having correct ______ and __________________ size, accommodations for _________, ______________ considerations, assessment of _________ and _______ sounds, ____ size, and teaching about ______________ exercises to be used postoperatively

A

comorbidities, gown, blood pressure cuff, weight, wheelchair, heart, lung, IV, respiratory

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18
Q

it takes ___________ to establish a habit

A

6 weeks

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19
Q

when caring for a patient with gastric sleeve, patient will have ______________ drain, will need to be NPO for __________, and a(n) ________________ (procedure) will be done the next day to ensure no leakage

A

Jackson-Pratt, 24 hours, swallow X-ray

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20
Q

three cardiovascular health risks of obesity

A

stroke, hypertension, sleep apnea

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21
Q

android (apple) or gynoid (pear) shape: health risks: visceral fat more acute, causing decreased insulin sensitivity

A

android (apple)

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22
Q

five criteria for metabolic syndrome (must meet ____ criteria to diagnose)

A

three
1. waist circumference: ≥40 in (102 cm) men; ≥35 in (89 cm) women
2. triglycerides: >150 mg/dL OR drug treatment for high triglycerides
3. HDL cholesterol <40 mg/dL men, <50 mg/dL women OR drug treatment for high cholesterol
4. BP ≥130 mm Hg systolic OR ≥85 mmHg diastolic OR drug treatment for hypertension
5. fasting glucose ≥100 mg/dL OR drug treatment for elevated glucose

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23
Q

android (apple) or gynoid (pear) shape: fat also found over upper body (neck, arms, shoulders)

A

android (apple)

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24
Q

to lose weight, need ______ minutes of moderate exercise or _____ minutes of vigorous exercise per week

A

150, 75

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25
Q

this disease can cause liver problems from fat deposits that can turn into cirrhosis

A

NASH (nonalcoholic steatohepatitis)

26
Q

android (apple) or gynoid (pear) shape: health risks: varicose veins

A

gynoid (pear)

27
Q

four environmental factors that contribute to obesity

A
  1. access to high-calorie energy dense food
  2. increased portion size
  3. decreased exercise
  4. socioeconomic status
28
Q

increased weight puts stress on knees and hips, causing ______________

A

osteoarthritis

29
Q

postoperative care for bariatric surgery include assessment of _____________, _____________, and _________; _______ precautions; walking _____ times each day the evening of surgery; and ______ and _______ management

A

airway, skin, wound; DVT; 3-4; pain, diet

30
Q

android (apple) or gynoid (pear) shape: greater risk for obesity-related complications

A

android (apple)

31
Q

postoperative bariatric surgery: patients will progress to typical diet in ________ weeks with possible _________ supplements (time frame is same for when most will typically lose weight)

A

4-6, protein

32
Q

android (apple) or gynoid (pear) shape: health risks: osteoporosis

A

gynoid (pear)

33
Q

android (apple) or gynoid (pear) shape: health risks: cellulite

A

gynoid (pear)

34
Q

three psychosocial factors that contribute to obesity

A
  1. associations begin in childhood
  2. social component
  3. stress, sadness, anxiety
35
Q

BMI extreme obese range

A

> 40

36
Q

android (apple) or gynoid (pear) shape: fat mainly in abdominal area

A

android (apple)

37
Q

type of restrictive surgery for obesity in which 75% of stomach is removed and this shape stomach is created with 60-150 mL capacity

A

sleeve gastrectomy or gastric sleeve

38
Q

postoperative pain from bariatric surgery could be from a(n) ___________________ rather than ___________ pain

A

anastomosis leak, surgical

39
Q

android (apple) or gynoid (pear) shape: health risks: increased triglycerides

A

android (apple)

40
Q

android (apple) or gynoid (pear) shape: health risks: breast and endometrial cancer

A

android (apple)

41
Q

android (apple) or gynoid (pear) shape: health risks: diabetes

A

android (apple)

42
Q

empty a Jackson-Pratt drain when it is _____ full; ______ times a day

A

1/2; 1-2

43
Q

milking the Jackson-Pratt drain prevents _______________ in the tube; do this every __________

A

clotting, 4 hours

44
Q

android (apple) or gynoid (pear) shape: health risks: trapped fatty acids stored as triglycerides

A

gynoid (pear)

45
Q

type of restrictive surgery for obesity in which an inflated balloon is inserted to occupy space in the stomach

A

intragastric balloon

46
Q

once weight loss is achieved, _________ minutes of exercise per week is recommended to maintain weight loss or prevent weight gain

A

200-300

47
Q

android obesity has (low, high) LDL, (low, high) HDL, and (low, high) triglycerides

A

high, low, high

48
Q

eight health risks associated with obesity

A

cardiovascular, musculoskeletal, cancers, respiratory, diabetes, depression, low self-esteem, social stigma

49
Q

after emptying a Jackson-Pratt drain, put ____________ on the plug and _____________ the bulb before recapping

A

alcohol, compress

50
Q

appropriate nutrition therapy for obesity includes these six things

A

fruits
vegetables
whole grains
fat-free or low-fat dairy
lean meat, fish, poultry, eggs
appropriate food intake

51
Q

BMI healthy weight range

A

18-24.9

52
Q

BMI obese range (early)

A

30-39.9

53
Q

android (apple) or gynoid (pear) shape: has a better prognosis but hard to treat

A

gynoid (pear)

54
Q

after a roux-en-Y gastric bypass (RYGB) surgery, these three things are concerns

A

pernicious anemia (need B12 injections)
malnutrition (from poor absorption)
dumping syndrome

55
Q

sleep apnea causes more _______________ work and stresses the _________

A

respiratory, heart

56
Q

three GI/liver health risks of obesity

A

GERD, gallstones, NASH

57
Q

type of restrictive surgery for obesity in which an inflatable band encircles the stomach with creation of a gastric pouch of 30 mL that later stretches to 60-90 mL

A

adjustable gastric banding

58
Q

cause of secondary obesity

A

health problem (such as Cushing’s, hypothyroidism, polycystic ovary syndrome)

59
Q

BMI overweight range

A

25-29.9

60
Q

type of malabsorptive surgery for obesity in which the size of the stomach is reduced, and part of the small intestine is diverted from the GI tract allowing a pathway for bile and pancreatic enzymes

A

biliopancreatic diversion with or without duodenal switch

61
Q

BMI underweight range

A

<18

Nursing of Adults I (21 decks)

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