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Chapter 71: Weight Management Test Bank

Chapter 71: Weight Management Test Bank

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Chapter 71: Weight Management
Test Bank
MULTIPLE CHOICE
1.   A woman comes to the clinic to talk about weight reduction. The primary care nurse practitioner (NP) calculates a body mass index (BMI) of 28. The woman’s waist measures 34 inches. The woman tells the NP that she would like to lose 20 lb for her daughter’s wedding in 6 months. The NP should:
a.

suggest she try over-the-counter (OTC) orlistat.

b.

consider prescribing phentermine short-term.

c.

discuss her short-term and long-term weight loss goals.

d.

give her information about physical activity and diet modification.

2.   A man with a BMI of 38 and a waist size of 48 inches is seen in the clinic for an annual well check-up. The primary care NP orders laboratory tests and notes a fasting plasma glucose of 110 mg/dL, triglyceride level of 220 mg/dL, and high-density lipoprotein level of 40 mg/dL. The man’s blood pressure is 160/110 mm Hg. The man has a history of cardiovascular disease and tells the NP he has tried to lose weight numerous times. The NP should consider:
a.

orlistat (Xenical).

b.

phentermine (Adipex-P).

c.

an oral antidiabetic agent.

d.

a strict low-fat, low-sodium diet.

3.   A patient who weighs 170 lb wishes to lose weight, with a target weight goal of 125 lb. To initiate a program that will result in a loss of 1 lb per week, the primary care NP should recommend a dietary intake of _____ kcal.
a.

1000

b.

1200

c.

1700

d.

2000

4.   A patient comes to the clinic to discuss weight loss. The primary care NP notes a BMI of 32 and performs a health risk assessment that reveals no obesity-related risk factors. The NP should recommend:
a.

orlistat (Xenical).

b.

surgical intervention.

c.

changes in diet and exercise.

d.

changes in diet and exercise along with short-term phentermine.

5.   A patient who has hypothyroidism and is obese begins therapy with orlistat. The primary care NP teaches the patient about this drug and then asks the patient to describe its use. Which statement by the patient indicates understanding of the teaching?
a.

“I may eat a high-fat diet while taking orlistat.”

b.

“I can expect the most benefit in the first few months.”

c.

“I should take fat-soluble vitamins each time I take orlistat.”

d.

“I should take an increased dose of levothyroxine while I am taking orlistat.”


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