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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bulimia involves episodes of binge eating followed by purging and can lead to a range of gastrointestinal issues, including esophageal damage and electrolyte imbalances. However, it is not a direct risk factor for the development of peptic ulcers. While it can affect the digestive system, it does not inherently increase the risk of ulcers.
B. Green tea is generally considered to have health benefits and is not typically associated with an increased risk of peptic ulcers. In some cases, it may even provide protective effects against gastric ulcers due to its antioxidant properties.
C. Moderate alcohol consumption can have varying effects on gastric mucosa. While excessive alcohol consumption is a risk factor for developing ulcers, moderate consumption, such as a glass of wine with dinner, is not typically considered a significant risk factor.
D. This is a well-established risk factor for peptic ulcer disease. Nonsteroidal anti-inflammatory drugs (NSAIDs) can irritate the gastric lining and inhibit the production of protective mucus, leading to an increased risk of developing ulcers.
Correct Answer is D
Explanation
A. Urine retention is not typically associated with appendicitis. While urinary issues may occur with abdominal pain due to other reasons, they do not specifically indicate appendicitis. Therefore, this option is not relevant.
B. Increased lower bowel motility can be seen in various gastrointestinal conditions, but it is not a specific indicator of appendicitis. In fact, appendicitis may lead to decreased bowel motility due to inflammation. Thus, this option is not indicative of appendicitis.
C. Gastric hyperacidity refers to increased stomach acid production and is associated with conditions like gastritis or peptic ulcers, but it is not a clinical indicator of appendicitis. Therefore, this option is not relevant to the diagnosis of appendicitis.
D. Rebound tenderness is a classic sign of appendicitis. It occurs when pressure is applied to the abdomen and then released, causing pain. This indicator suggests irritation of the peritoneum, which can occur with appendicitis.
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