After having bariatric surgery, a client being discharged tells the nurse, "I prefer to be independent. I'm not interested in joining a support group.”. Which response by the nurse is best?
Others in your group may be able to help you to adhere to the many changes in lifestyle you'll need to make.
I hope you change your mind so I can suggest a really good group for you.
Research shows that support groups lead to more successful weight loss after surgery. Tell me what types of resources you think you might use.
The Correct Answer is A
Choice A rationale
Bariatric surgery requires significant lifestyle changes, and support groups can provide essential emotional and practical support. These groups offer shared experiences and strategies to help adhere to dietary and activity recommendations, which can be crucial for long-term success.
Choice B rationale
While suggesting a group can be helpful, this response focuses on the nurse's preferences rather than the client's autonomy and willingness to engage in support, which is less effective in fostering adherence.
Choice C rationale
Research indicates that support groups contribute to better post-surgery outcomes by providing mutual support and sharing coping strategies. However, the added question shifts the focus from the immediate benefit of the support group to an exploration of other resources, which can be less direct.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Clients with acute appendicitis often lie still in a fetal position to reduce pain caused by movement. The fetal position helps decrease tension on the abdominal muscles, providing relief.
Choice B rationale
Initial pain in appendicitis is often crampy and diffuse but later localizes to the right lower quadrant (McBurney's point). The progression of pain from generalized to localized is typical in appendicitis.
Choice C rationale
Rhinitis (nasal inflammation) and myalgias (muscle pain) are symptoms more associated with viral infections like the flu, not acute appendicitis. These symptoms do not support a diagnosis of appendicitis.
Choice D rationale
A lack of appetite (anorexia) is common in clients with appendicitis due to the discomfort and inflammation in the abdomen, making this a supportive symptom.
Correct Answer is C
Explanation
Choice A rationale
A T-tube does not reroute bile into the intestine. Its purpose is to drain bile externally from the common bile duct to prevent obstruction and ensure healing.
Choice B rationale
The T-tube is not used for visualization of the gallbladder or duct system during surgery. Instead, it provides an external bile drainage route postoperatively to avoid bile buildup.
Choice C rationale
The T-tube helps to maintain patency of the common bile duct by providing a direct drainage path for bile. This prevents bile from accumulating and causing complications like jaundice or infection.
Choice D rationale
Preventing leakage of bile onto the skin is not the primary purpose of a T-tube. Its main function is to ensure bile can bypass any postoperative swelling or blockage in the bile ducts.
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