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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Bruising is not a common side effect of sulfasalazine. Explaining the medication's potential side effects is important but unrelated to the specific administration intervention.
Choice B rationale
Ensuring the client drinks at least 2000 ml of water daily is crucial when taking sulfasalazine. This medication can cause crystalluria and kidney stones if adequate hydration is not maintained.
Choice C rationale
Sulfasalazine is typically administered multiple times a day with food to decrease gastrointestinal upset, not once a day before breakfast.
Choice D rationale
Assessing the client's stool for steatorrhea and mucus is more relevant for evaluating gastrointestinal conditions rather than the direct administration of sulfasalazine.
Correct Answer is B
Explanation
Choice A rationale
Assessing for hypoglycemia at 0830 is too early, as insulin aspart typically peaks between 1 to 2 hours after administration. This choice would not capture the most likely time for hypoglycemia.
Choice B rationale
Hypoglycemia is most likely to occur around 0930, which is approximately 1.5 hours after the administration of insulin aspart, as it typically peaks within this time frame, increasing the risk of low blood sugar.
Choice C rationale
1030 is beyond the peak action time of insulin aspart, making it less likely to be the time for hypoglycemia. While it is important to monitor glucose levels, the highest risk period would have passed.
Choice D rationale
1130 is significantly beyond the peak action time of insulin aspart, and the risk of hypoglycemia from this dose would have decreased by this time. Regular monitoring is still important, but the critical period is earlier.
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