Obesity

Question 1

obesity in increasing due to

Answer 1

poor diet and physical inactivity

Question 2

class 1 BMI

Answer 2

30-under 35

Question 3

Class 2 of BMI

Answer 3

35- under 40

Question 4

class 3 of BMI

Answer 4

over 40 aka extreme obesity

Question 5

obesity is the

Answer 5

dysregulation of adipokines by altering the size of adipose tissue sites

Question 6

overweight

Answer 6

increase in body wt for height compared with standard or up to 10% greater than ideal body wt

Question 7

obesity

Answer 7

excess amount of body fat when compared with lean body mass, at least 20% above upper limit for norm range of ideal body wt

Question 8

waist circumference

Answer 8

above 40 for men and 35 for women indicate obesity

Question 9

genetic risk of obesity

Answer 9

environment, genetics, high fat/cholesterol, inactivity, drugs, psych medication

Question 10

cardiovascular complications of obesity

Answer 10

hypertension, hyperlipidemia, CAD, PAD

Question 11

endocrine complications of obesity

Answer 11

type 2 DM, metabolic syndrome

Question 12

respiratory complications of obesity

Answer 12

obstructive sleep apnea, obesity hypoventilation syndrome by excess tissue blocking airways

Question 13

neuro complications of obesity

Answer 13

stroke

Question 14

psych complications of obesity

Answer 14

depression

Question 15

musculoskeletal complications of obesity

Answer 15

osteoarthritis, chronic back and joint pain

Question 16

assessment of pt history

Answer 16

appetite, chronic disease, drugs, activity, functional ability, fam hx, forms of wt loss, attitude w food

Question 17

physical assessments to determine obesity

Answer 17

ht, wt, BMI, waist/arm/calf circumference, waist-hip ration, skin folds for yeast/red

Question 18

psychosocial assessment

Answer 18

emotional factors, perception of weight, weight reduction techniques, lifestyles changes, support

Question 19

weight gain

Answer 19

stresses all organs and is due to excessive intake of calories

Question 20

nonsurgical management of obesity

Answer 20

diet, nutrition therapy, exercise programs, drugs, behavior management (journal), hypnosis

Question 21

liraglutide, semaglutide (GLP-1 agonist)

Answer 21

decrease appetite and make person for full having them eat less

Question 22

orlistat

Answer 22

blocks 1/3 of fat in food when digested, creates greasy stools

Question 23

additonal drug therapy for obesity

Answer 23

naltrexone-bupropion, phentermine-topiramate

Question 24

liposuction

Answer 24

removal of fat in specific areas but is not a permanent solution

Question 25

bariatrics

Answer 25

branch of medicine that manages obesity

Question 26

gastric restriction

Answer 26

makes stomach smaller to decrease the amount one is eating

Question 27

malabsorption

Answer 27

change absorption tract but taking stomach and attaching it directly to duodenal for quicker digestion

Question 28

preoperative care

Answer 28

psych assessment, coping skills, health teaching about lifelong changes

Question 29

gastric restriction procedure

Answer 29

allows for normal digestion w/out risk for nutrition deficiencies by gastric banding/sleeve gastroplasty

Question 30

roux en Y gastric bypass (malabsorption surgery)

Answer 30

invasive surgery where stomach, doudenum, part of jejunum are bypasses affecting absorption of nutrients

Question 31

post op care

Answer 31

assess all body systems, airway management, use bariatric beds/lifting equipment, pain management

Question 32

post op assessment of anastomotic leaks

Answer 32

when 2 sites stitched together dont hold and cause severe pain

Question 33

CV/resp care

Answer 33

airway management, have pt sit up, monitor RR and O2 sat, compression stockings, anticoags

Question 34

GI care

Answer 34

abdominal binder, record abdominal girth and watch for distention, NG tube care, progression of diet with 6 small meals

Question 35

dumping syndrome

Answer 35

quick emptying of stomach drawing in large amounts of fluid causing diarrhea, tachycardia, N/V

Question 36

GU care

Answer 36

remove catheter within 24 hrs

Question 37

skin care

Answer 37

assess skin/folds, use absorbent padding, make sure tubes and catheters are not pressing against skin

Question 38

musculoskeletal care

Answer 38

assist pt out of bed, dangle legs on edge of bed, ambulation, PT

Question 39

discharge teaching

Answer 39

nutrition, drug therapy, wound care, activity level (no heavy lifting), report abnl s/s, follow up care