The nurse is educating a patient about the different types of bariatric surgeries for weight loss. Which of the following statements indicate a need for further teaching?
"I can stop using behavior modification practices to promote weight loss after surgery."
"I can expect improvement of my blood pressure and a reduced risk for Diabetes because I had the surgery."
"A gastric sleeve is a permanent procedure that does not allow for reversal."
"The gastric bypass procedure creates a small stomach pouch to restrict food intake."
The Correct Answer is A
A. Behavioral modifications are crucial for long-term success after bariatric surgery. Surgery is a tool to aid weight loss, but without continued behavioral changes, patients may regain weight. Ongoing support and behavioral strategies are essential for maintaining weight loss and promoting a healthy lifestyle.
B. Many patients experience significant improvements in comorbidities such as hypertension and type 2 diabetes following bariatric surgery due to weight loss and metabolic changes. This reflects a positive outcome of the surgery.
C. The gastric sleeve procedure involves removing a large portion of the stomach, which cannot be reversed. Patients should understand that this is a permanent change to their digestive system.
D. The gastric bypass procedure involves creating a small pouch from the stomach and rerouting the small intestine to this pouch, effectively reducing food intake and nutrient absorption. This is a well- understood aspect of the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2.5"]
Explanation
Rate (ml/min) = Total Volume (ml) / Time (min).
The total volume of the pantoprazole IV is 10 ml, and the time frame for administration is 4 minutes.
Therefore, the calculation would be: Rate = 10 ml / 4 min, which equals 2.5 ml per minute. So, the nurse should administer 2.5 ml of pantoprazole IV per minute to deliver a total of 40 mg over the 4-minute period
Correct Answer is C
Explanation
A. A high specific gravity of urine typically indicates concentrated urine, which can occur in dehydration; however, moist mucous membranes suggest adequate hydration. This combination does not indicate severe dehydration.
B. A low specific gravity of urine usually indicates dilute urine, which is not typical in dehydration; it suggests the kidneys are not concentrating urine due to good fluid intake or other factors. While pale skin can indicate poor perfusion, this option does not specifically indicate severe dehydration.
C. A depressed fontanelle (soft spot on the head) and a capillary refill time greater than 4 seconds are significant indicators of severe dehydration in infants. Depressed fontanelles suggest that the infant is not receiving enough fluids, and prolonged capillary refill time indicates poor perfusion and dehydration.
D. Moist skin and mucous membranes indicate adequate hydration. Flushed skin may occur with certain conditions but does not suggest severe dehydration. This option reflects a well-hydrated status rather than dehydration.
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