Obesity

Question 1

Waist size that increases the risk of cardiovascular disease for male and female?

Answer 1

Male: > 40”
Female: > 35”

Question 2

Apple-shaped body

Answer 2

• Fat located primarily in the abdominal area
• At greater risk for obesity-related complications
• Android obesity

Question 3

Pear-shaped body

Answer 3

• Fat located primarily in upper legs
• Gynoid obesity
• Better prognosis but harder to treat

Question 4

Nursing Interventions for obese patients

Answer 4

• Set a realistic and healthy goal for weight loss
• 1 to 2 pounds per week
• Slower weight loss offers better cosmetic results
• Plateaus can last from several days to several weeks
• Daily weighing is not recommended
• Weigh once a week with similar clothing, at the same time of day

Question 5

Dietary Teaching for the obese patient?

Answer 5

- Modify eating patterns.
I- nclude food from the basic food groups.
- Diet classifications
   - 800 to 1200 cal: Low cal
   - <800 cal: Very low cal
- Adequate quantities of 
   - Fruits and vegetables
   - Lean meat, fish, and eggs
- Fad diets should be discouraged, often body water is lost, and not fat.

Question 6

Food portion sizes for the obese patient (fruit/vegetable)?

Answer 6

Serving size of woman’s fist or baseball

Question 7

Food portion sizes for the obese patient (meat)?

Answer 7

Size of person’s palm or a deck of cards

Question 8

Food portion sizes for the obese patient (cheese)?

Answer 8

Size of a thumb or six dice

Question 9

Exercise teaching for the obese patient?

Answer 9

30 - 60 minutes daily

• walk, swim, cycle
• 10k steps/day

Question 10

medication that inhibits intestinal lipases, preventing breakdown of fat?

Answer 10

Orlistat (Xenical, Alli)

Question 11

Orlistat (Xenical, Alli)

Answer 11

inhibits intestinal lipases, preventing breakdown of fat

Question 12

Appetite-suppressing drugs

Answer 12

Phentermine
Diethylpropion
Phendimetrazine

Question 13

Phentermine

Answer 13

Appetite-suppressing drug

Question 14

Diethylpropion

Answer 14

Appetite-suppressing drug

Question 15

Phendimetrazine

Answer 15

Appetite-suppressing drug

Question 16

Criteria needed for approval of bariatric surgery?

Answer 16

• BMI ≥40 w/ one or more obesity-related complications
• 18 years or older
• Has been obese for >5 years
• Has tried and failed to lose weight
• Has no serious endocrine problems
• Has psychiatric and social stability
• Surgery would ↓ or eradicate high-risk conditions

Question 17

Vertical banded gastroplasty pouch capacity?

Answer 17

15-30 mL

Question 18

, Biliopancreatic diversion with duodenal switch pouch capacity?

Answer 18

100-200 mL

Question 19

Adjustable gastric banding pouch capacity?

Answer 19

10-15 mL

Question 20

Roux-en-Y gastric bypass pouch capacity?

Answer 20

20-30 mL

Question 21

Patients who are obese are likely to suffer other co-morbidities, such as?

Answer 21

Diabetes, altered cardiorespiratory function, abnormal metabolic function, atherosclerosis

Question 22

Bariatric Surgery Postoperative Care?

Answer 22

• Assess for post-op respiratory complications
• Pain management
• Early ambulation is essential (3-4 x day)
• Pneumatic compression devices, elastic compression stockings, or elastic wraps will be used
• Follow prescribed diet

Question 23

Bariatric Surgery post-op respiratory complications?

Answer 23

• Cardiopulmonary complications
• Thrombus formation
• Anastomosis leaks
• Electrolyte imbalances

Question 24

Diet for post op bariatric surgery patient?

Answer 24

• High protein
• Low carbohydrates
• Low fats
• Low roughage
• Six small feedings
• Fluids not to be ingested with meals (< 1000 mL/day )

Question 25

Bariatric Surgery post-op complications?

Answer 25

• Anemia
• Vitamin deficiencies
• Diarrhea
• Psychiatric problems
• Peptic ulcer formation
• Dumping syndrome
• Small-bowel obstruction