The nurse is caring for a patient with obesity who is being considered for bariatric surgery. Which do the criteria guidelines for bariatric surgery include?

BMI of 28 kg/m² or more

BMI of 32 kg/m² or more with other significant co-morbidities

BMI of 30 kg/m² or more

Body mass index (BMI) of 40 kg/m² or more

Answer and Explanation

The Correct Answer is D

A. A BMI of 28 kg/m² is considered overweight, but it does not meet the threshold for bariatric surgery, which typically requires a BMI of 40 or more.
B. While a BMI of 32 kg/m² may be relevant when combined with significant co-morbidities (like type 2 diabetes or hypertension), the standard guideline for bariatric surgery generally requires a BMI of 40 or higher, or 35 with comorbid conditions.
C. A BMI of 30 kg/m² is classified as obese, but bariatric surgery is generally considered for those with a BMI of 40 or higher, or 35 with severe comorbidities.
D. A BMI of 40 kg/m² or more is the standard criteria for bariatric surgery, particularly when other treatments (such as diet, exercise, and medication) have failed, or when obesity-related health issues are present.

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Correct Answer is C

Explanation

A. Hepatitis B is a viral infection and is not typically a concern for asthma patients in terms of environmental triggers.
B. Radon is a radioactive gas that can cause lung cancer with long-term exposure, but it is not a common asthma trigger.
C. Mold is a common environmental allergen and asthma trigger. It can exacerbate asthma symptoms and lead to allergic reactions, so it is important for clients with asthma to avoid mold exposure.
D. Cockroaches are another common asthma trigger, and clients with asthma should avoid exposure to cockroach allergens.

A. Maintain an IV of 0.45% sodium chloride. B. Restrict fluid intake to 1,000 mL per day. C. Provide a diet containing 2 g of sodium per day. D. Administer desmopressin acetate 0.2 mg orally.

Correct Answer is B

Explanation

A. Maintaining an IV of 0.45% sodium chloride would not be appropriate for SIADH because it is a hypotonic solution, and it could exacerbate the already low sodium levels in the patient, potentially worsening hyponatremia.
B. Fluid restriction is the primary treatment for SIADH as it helps reduce water retention, which is causing the dilution of sodium in the blood. Restricting fluid intake to 1,000 mL per day helps manage hyponatremia in these patients.
C. A diet containing 2 g of sodium per day is not typically indicated in SIADH. Restricting fluid is the main focus, and increasing sodium intake can often be counterproductive in SIADH, as the sodium imbalance is primarily due to excessive water retention.
D. Desmopressin acetate is typically used in diabetes insipidus, not SIADH. Desmopressin acts as an antidiuretic hormone (ADH) agonist, which would worsen the water retention in SIADH, not improve it.

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The nurse is caring for a patient with obesity who is being considered for bariatric surgery. Which do the criteria guidelines for bariatric surgery include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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