A client is preparing for bariatric surgery. The nurse advises that which form of exercise would be most beneficial for this client?

Walking for 30 minutes daily

High energy bursts of exercise throughout the day

Lifting weights three times a week

Three sets of push-ups every morning followed by three set of abdominal thrusts

Answer and Explanation

The Correct Answer is A

A. Walking is a low-impact aerobic exercise that can be beneficial for individuals preparing for bariatric surgery. It helps improve cardiovascular health, burn calories, and increase overall physical activity levels. Walking for 30 minutes daily is a reasonable and achievable goal for many individuals, including those preparing for bariatric surgery. It can also help with weight loss and improve overall fitness levels.
B. While HIIT can be effective for improving cardiovascular fitness and burning calories, it may not be suitable for all individuals preparing for bariatric surgery. HIIT can be challenging for individuals who are overweight or have limited mobility, and it may increase the risk of injury if not performed safely.
C. Strength training, including lifting weights helps build muscle mass, improve metabolism, and enhance overall strength and fitness. However, it's essential to ensure that weightlifting exercises are performed safely and under proper supervision.
D. While push-ups and abdominal thrusts are strength-training exercises that can help build muscle strength and improve core stability, this regimen may be too intense or challenging for many individuals preparing for bariatric surgery.

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Correct Answer is A

Explanation

A. Teach the client to support the surgical site while deep breathing and coughing: This action is appropriate as it helps prevent complications such as atelectasis and pneumonia by promoting lung expansion and clearing secretions. Supporting the surgical site while deep breathing and coughing helps reduce pain and discomfort during these activities.
B. This is an important teaching point for clients using PCA for pain control after surgery. Opioid medications used in PCA can lead to gastrointestinal motility issues, including constipation. However, pain management is central within the first 24 hours post operation.
C. Irrigating and repositioning the NGT frequently can increase the risk of complications such as displacement or irritation of the surgical site. NGT care should be performed as needed based on institutional protocols and the client's condition.

D. The client's diet will likely be advanced gradually, starting with clear fluids and progressing to full liquids and then solid foods as tolerated. Fruit juices may be introduced gradually as part of the liquid diet once the client's gastrointestinal function has recovered sufficiently.

A. serum white blood cell count of 16,000/mm3. B. pre-albumin level less than 10 mg/dl C. maintenance of baseline weight or gain of up to 1 kg/day. D. negative nitrogen balance.

Correct Answer is C

Explanation

C. The expected effect of TPN is to maintain or promote weight gain in clients who are unable to meet their nutritional needs orally. TPN provides essential nutrients directly into the bloodstream, allowing for adequate caloric intake to support energy needs and promote tissue repair and growth.
A. A serum white blood cell count of 16,000/mm3 indicates leukocytosis, which may suggest infection or inflammation rather than a direct effect of TPN.
B. Pre-albumin is a marker of nutritional status, and levels below 10 mg/dl typically indicate malnutrition rather than a positive response to TPN.
D. Negative nitrogen balance occurs when the body loses more nitrogen than it gains, typically due to inadequate protein intake or increased protein breakdown. TPN provides amino acids, which are the building blocks of protein, and aims to promote a positive nitrogen balance to support tissue repair and growth.

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A client is preparing for bariatric surgery. The nurse advises that which form of exercise would be most beneficial for this client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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