A nurse is meeting with a 25-year-old client who has a BMI of 30 and type 2 diabetes mellitus to discuss possible treatment options, including bariatric surgery. Based on the Obesity Medicine Association (OMA) guidelines, which of the following statements by the nurse is accurate?
“You must try medication and diet changes for at least two years before surgery is considered.”
“You may be a candidate for bariatric surgery because of your BMI and type 2 diabetes.”
“Bariatric surgery is only recommended for individuals with a BMI of 40 or higher.”
“Bariatric surgery is not appropriate for people under the age of 30.”
The Correct Answer is B
A. "You must try medication and diet changes for at least two years before surgery is considered.”
The OMA and ASMBS guidelines recommend considering bariatric surgery in patients with a BMI ≥30 with comorbidities like type 2 diabetes when lifestyle and medical therapies are insufficient. There is no strict 2-year requirement.
B. "You may be a candidate for bariatric surgery because of your BMI and type 2 diabetes."
The OMA supports considering bariatric surgery for individuals with a BMI ≥30 who also have comorbidities like type 2 diabetes, especially if other treatments have failed.
C. "Bariatric surgery is only recommended for individuals with a BMI of 40 or higher."
Surgery is also considered for patients with a BMI ≥35 with comorbidities, and in some cases, ≥30 with significant health issues like diabetes.
D. "Bariatric surgery is not appropriate for people under the age of 30."
Age alone is not a disqualifier for bariatric surgery. Candidates are evaluated on BMI, comorbidities, and failure of other treatments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Mouth, pharynx, large intestine, small intestine
This skips the esophagus and is in the wrong sequence (large intestine comes after small intestine).
B. Mouth, pharynx, esophagus, stomach, small intestine
This accurately follows the correct path of food through the digestive system.
C. Mouth, esophagus, stomach, pharynx, small intestine
The pharynx comes immediately after the mouth, not after the stomach.
D. Mouth, pharynx, stomach, esophagus, anus
The esophagus comes before the stomach, and this sequence is incorrect and incomplete.
Correct Answer is B
Explanation
A. Gallbladder, production of bile
The liver produces bile, while the gallbladder stores and releases it. Villi are not located here.
B. Small intestine, absorption
Villi are tiny finger-like projections in the small intestine that increase surface area for absorption of nutrients.
C. Pancreas, release of hormones
The pancreas does release hormones (like insulin), but it does not contain villi.
D. Large intestine, excretion
The large intestine is responsible for water absorption and feces formation, not nutrient absorption through villi.
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