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A nurse is educating a client about bariatric surgery. Which of the following statements by the client indicate a need for further teaching?

For the first 6 weeks after bariatric surgery, I will need to have a liquid/pureed diet and not drink more than a cup at a time

I can schedule this elective surgery without an evaluation by the surgeon prior to the procedure

The surgery may include making my stomach smaller and/or interfering with the absorption of food in my stomach

It sounds like lifelong changes are required following bariatric surgery

Answer and Explanation

The Correct Answer is B

Choice A reason: This is not the correct answer because this statement by the client indicates that the client understands the dietary restrictions and guidelines that are necessary after bariatric surgery. A liquid/pureed diet and limited fluid intake are recommended to prevent complications such as nausea, vomiting, dehydration, and dumping syndrome.

Choice B reason: This is the correct answer because this statement by the client indicates that the client does not understand the importance of a thorough evaluation by the surgeon prior to the procedure. Bariatric surgery is a major surgery that involves significant risks and benefits, and requires careful consideration of the client's medical history, physical condition, psychological status, and readiness for lifestyle changes. The surgeon should assess the client's eligibility, suitability, and expectations for the surgery, and provide informed consent and education.

Choice C reason: This is not the correct answer because this statement by the client indicates that the client understands the basic principles and types of bariatric surgery. Bariatric surgery can be classified into restrictive, malabsorptive, or combined procedures, depending on how they affect the size of the stomach and the absorption of food. The most common types of bariatric surgery are gastric bypass, sleeve gastrectomy, and adjustable gastric banding.

Choice D reason: This is not the correct answer because this statement by the client indicates that the client understands the long-term implications and commitments of bariatric surgery. Bariatric surgery is not a quick fix or a magic solution for obesity, but rather a tool that helps the client achieve and maintain weight loss and improve health outcomes. The client should be aware that bariatric surgery requires lifelong changes in diet, exercise, medication, supplementation, and follow-up care.

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Correct Answer is C

Explanation

Choice A reason: Cataracts are a condition that causes the lens of the eye to become cloudy and opaque. They can cause symptoms such as blurred vision, glare, halos, and reduced color perception. They do not affect the shape of the lines on the Amsler grid or the center of vision.

Choice B reason: Glaucoma is a condition that causes increased pressure in the eye and damage to the optic nerve. It can cause symptoms such as gradual loss of peripheral vision, tunnel vision, and eye pain. It does not affect the shape of the lines on the Amsler grid or the center of vision.

Choice C reason: Macular degeneration is a condition that affects the macula, the central part of the retina. It can cause symptoms such as distorted vision, dark spots, and loss of central vision. It can affect the shape of the lines on the Amsler grid and the center of vision.

Choice D reason: Retinal detachment is a condition that occurs when the retina separates from the back of the eye. It can cause symptoms such as flashes, floaters, and a curtain-like vision loss. It does not affect the shape of the lines on the Amsler grid or the center of vision.

A. Assessment B. Analysis/Diagnosis C. Planning D. Implementation E. Evaluation

Correct Answer is E

Explanation

Choice A reason: Assessment is the first phase of the nursing process, where the nurse collects data about the patient's health status, needs, preferences, and goals.

Choice B reason: Analysis/Diagnosis is the second phase of the nursing process, where the nurse interprets the data and identifies the patient's problems, risks, and strengths.

Choice C reason: Planning is the third phase of the nursing process, where the nurse develops a care plan that specifies the expected outcomes, interventions, and priorities for the patient.

Choice D reason: Implementation is the fourth phase of the nursing process, where the nurse executes the care plan and performs the interventions for the patient.

Choice E reason: Evaluation is the fifth and final phase of the nursing process, where the nurse measures the effectiveness of the interventions and compares the actual outcomes with the expected outcomes. Asking the patient about their pain level after giving pain medication is an example of evaluation.

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A nurse is educating a client about bariatric surgery. Which of the following statements by the client indicate a need for further teaching?

Nursing Test Bank

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