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. Hypotension is not a risk factor for metabolic syndrome; in fact, metabolic syndrome is often associated with hypertension.
B. Hypoglycemia is not a risk factor for metabolic syndrome. It is typically a concern in diabetes, not directly related to metabolic syndrome.
C. A large waist size is a significant risk factor for metabolic syndrome, as it is one of the key components in diagnosing the syndrome. Abdominal obesity (visceral fat) is strongly associated with insulin resistance, high cholesterol, and increased cardiovascular risk.
D. While asthma may affect overall health, it is not a direct risk factor for metabolic syndrome.

A. Using a lift sheet to change the patient's position B. Assisting the patient to change positions slowly C. Padding the siderails of the patient's bed D. Keeping suctioning equipment at the patient's bedside

Correct Answer is B

Explanation

A. Using a lift sheet is helpful for preventing injury and ensuring safe handling of the patient, but it is not the most critical safety measure for a patient with Cushing’s syndrome.
B. Assisting the patient to change positions slowly is the most important safety measure for a patient with Cushing’s syndrome. Patients with Cushing’s syndrome often have osteoporosis and a risk of fractures due to prolonged exposure to high cortisol levels, which can lead to weakened bones. Orthostatic hypotension may also occur, so changing positions slowly can prevent falls.
C. Padding the siderails of the bed is typically done for patients at risk of seizures or those with neurological issues, not as a primary concern for patients with Cushing’s syndrome.
D. While keeping suction equipment at the bedside is important for patients at risk of aspiration or respiratory issues, it is not the most critical measure for a patient with Cushing’s syndrome. The most significant concern is the risk of falls and fractures due to bone weakening and potential hypotension.

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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 assessing a client to identify risk factors for disease. Which of the following findings is a risk factor for metabolic syndrome?

Correct Answer is C

Explanation

Which safety measure is most important for the nurse to institute for a patient who has Cushing Syndrome?

Correct Answer is B

Explanation

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Which condition may be observed due to incorrect fluid replacement with hypotonic fluids in patients with diabetic ketoacidosis?

A nurse is caring for a client who is 12 hr postoperative and has a chest tube to a disposable water-seal drainage system with suction. The nurse should intervene for which of the following observations?

A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)

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?

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