The nurse is evaluating the histories of several candidates for bariatric surgery. Who is the best candidate for the surgery?

63-year-old female with alcohol addiction, congestive heart failure and a BMI of 30

17-year-old female with severe acne and a BMI of 20

31-year-old male with a history of schizophrenia and a BMI of 33

51-year-old male who has hypertension, gallstones and a BMI of 42

Answer and Explanation

The Correct Answer is D

D. This candidate has obesity-related comorbidities such as hypertension and gallstones, which may indicate a higher risk of complications from obesity. With a BMI of 42, this individual meets the criteria for bariatric surgery. Additionally, being older than 18 years old and having obesity-related comorbidities make this candidate a potentially suitable candidate for bariatric surgery.
A. Bariatric surgery may not be appropriate for individuals with severe alcohol addiction or unstable cardiovascular conditions like congestive heart failure. Additionally, with a BMI of 30, this candidate is considered overweight but may not meet the criteria for bariatric surgery.
B. Bariatric surgery is not typically recommended for adolescents with a BMI in the normal weight range (18.5 to 24.9), such as this candidate. Furthermore, severe acne alone would not be a sufficient indication for bariatric surgery.
C. Bariatric surgery candidates should be mentally stable and capable of understanding and adhering to the necessary pre- and postoperative guidelines.

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Correct Answer is D

Explanation

D. Crohn's disease is a chronic condition for which there is currently no cure. Treatment focuses on managing symptoms, reducing inflammation, and preventing complications through medications, lifestyle changes
A. Crohn's disease is a chronic condition that can affect any part of the gastrointestinal tract, and surgical removal of affected portions does not eliminate the underlying disease process.
B. While some individuals with Crohn's disease may require surgery resulting in an ostomy, it is not true that most people with Crohn's will need this intervention. Many individuals with Crohn's can manage their symptoms with medications and lifestyle modifications without the need for surgery.
C. Crohn's disease is a chronic illness with unpredictable flare-ups and periods of remission. Managing symptoms and maintaining a good quality of life often require ongoing medical management and lifestyle adjustments.

A. be prescribed for me only after I've tried to change my lifestyle." B. cause some unpleasant side effects." C. be part of my treatment plan for at least the next ten years." D. help me to achieve a weight loss of about 6-11 pounds."

Correct Answer is C

Explanation

A. This statement reflects an understanding that medications such as orlistat are typically prescribed as an adjunct to lifestyle changes, including diet and exercise. It is important for clients to attempt lifestyle modifications before resorting to medication for weight loss. Therefore, this statement demonstrates appropriate knowledge.
B. Orlistat, a medication used for weight loss, can cause gastrointestinal side effects such as oily spotting, flatulence with discharge, fecal urgency, and oily or fatty stools.
C. Orlistat is not typically used as a long-term treatment for weight loss. It is usually prescribed for a limited duration to aid in initial weight loss efforts or to help maintain weight loss achieved through lifestyle modifications.
D. Orlistat has been shown to lead to modest weight loss in clinical studies, typically ranging from about 6-11 pounds (2.7-5 kg) over 6-12 months when used in conjunction with lifestyle modifications. However, individual weight loss outcomes can vary, and it is important for clients to have realistic expectations regarding the effectiveness of weight loss medications.

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The nurse is evaluating the histories of several candidates for bariatric surgery. Who is the best candidate for the surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client newly diagnosed with Crohn's disease asks the nurse what to expect in the future. The best response by the nurse would be:

Correct Answer is D

Explanation

The nurse recognizes that the client requires additional teaching when he states, "Drugs like orlistat will:

Correct Answer is C

Explanation

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