Nursing Care for Clients who are Obese

Question 1

What is the marker for excess body weight

Answer 1

BMI

Waist circumference

Question 2

What is the waist circumference value in men and women that indicate obesity

Answer 2

women - anything greater than or equal to 35 inches

men - anything greater than or equal to 40 inces

Question 3

Obese class 1

Answer 3

30 - 34.9

Question 4

obese class 2

Answer 4

35 - 40

Question 5

morbid obesity

Answer 5

greater than 40

Question 6

most common resulting problems from obesity

Answer 6

type 2 diabetes
cadiovascular disease
gallbladder/liver disease
cancer
metabolic syndrom
reproductive issues
sleep apnea, asthma
osteoarthritis, gout, pain
depression
body image, self esteem

Question 7

pathophysiology of obesity

Answer 7

strong genetic component
-low resting metabolic rate
-inherited family tendency
-decreased amount of brown fat
-insulin resistance
-appetite control in hypothalamus
-effects surgar
effects activity

Question 8

adipocytes and obesity

Answer 8

may produce several peptides and metabolites that affect the control of body weight

Question 9

edocannabinoids

Answer 9

increase appetite

Question 10

melanocortin

Answer 10

modifies appetite

Question 11

insulin

Answer 11

high in obesisty
become resistant
fat deposition

Question 12

ghrelin

Answer 12

stimulates appetite, increased with food deprivation, decreased with full stomach
does not decrease after a meal with obesity

Question 13

satiety hormones

Answer 13

regulates/supresses appetite

Question 14

differences in odor detection

Answer 14

increased insulin led to reduced smelling capacity, potentially reducing pleasantness of eating

Question 15

equipment for obese patient

Answer 15

bed
mechanical lift
non friction sheets
turn& position sheets/straps
chair, wheelchair, shower chair
bp cuff/abdominal binders
gowns, slipper, linens