Question

In: Nursing

32) A pt has had a very poor p.o. intake for 2-3 months PTA. When you...

32)

A pt has had a very poor p.o. intake for 2-3 months PTA. When you visit them, you write in your SOAP note to monitor 3 labs very closely because they decrease drastically with refeeding. What are they?

A.

Albumin, Mg, K

B.

Phosphorus, Mg, K

C.

K, BUN, Albumin

D.

Phosphorus, Lipase, Mg

33)

A pt is taking Sibutramine (Meridia). What is the MAIN reason people take this pharmacological agent?

A.

To decrease LDL and increase HDL

B.

To decrease blood pressure

C.

To decrease body weight

D.

All of the above

34)

What must one's BMI be in excess of to quality for bariatric surgery?

A.

≥ 30

B.

≥ 25

C.

≥ 32

D.

≥ 40

Solutions

Expert Solution

32. Refeeding syndrome is caused by rapid refeeding after a period of under-nutrition, characterised by hypophosphataemia, electrolyte shifts and has metabolic and clinical complications.

Correct answer: option b

Rational:

Refeeding syndrome involves metabolic abnormalities when a malnourished person begins feeding, after a period of starvation or limited intake. In a starved body, there is a breakdown of fat and muscle, which leads to losses in some electrolytes like potassium, magnesium, and phosphate. So option b is correct. Other options are incorrect.

33. Correct answer: option d

Rational:

Sibutramine improves metabolic fitness, by decreasing the biochemical risk factors associated with obesity, such as plasma triglycerides, total cholesterol and low density lipoprotein (LDL) cholesterol, glucose and insulin, and increasing HDL-cholesterol. So all of the above is correct answer.

34. Correct answer: option d

Rational

Morbid obesity is defined as a BMI score of 40 or more. You typically qualify for bariatric surgery.

So option d is correct answer.


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