The nurse is providing teaching to a patient following a gastric bypass. Which statement by the patient indicates an understanding of the need for lifelong monitoring and lifestyle changes?

"I should take docusate daily to relieve constipation."

"I am at an increased risk for high cholesterol."

"I will need to see my doctor to have my electrolytes checked."

"I will need to monitor my blood sugar daily as I am at risk for high sugars.

Answer and Explanation

The Correct Answer is C

A.   While constipation is a common side effect of gastric bypass surgery, docusate may not be necessary for all clients. The need for stool softeners should be individualized based on the client's symptoms.
B.   While gastric bypass surgery can help with weight loss, it does not eliminate the risk of high cholesterol. Clients should still monitor their cholesterol levels and take appropriate measures to manage it.
C.   This statement reflects an understanding of the need for ongoing medical monitoring following gastric bypass surgery. Patients are at risk for nutritional deficiencies, including electrolyte imbalances, due to changes in absorption and dietary intake. Regular checks are necessary to prevent complications.
D.   While gastric bypass surgery can increase the risk of developing diabetes, not all clients will need to monitor their blood sugar daily. The need for blood sugar monitoring should be determined by the client's individual risk factors and medical history.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. This option includes nausea, which may occur but is not a primary indication for surgery. Belching can happen with digestive issues but does not specifically relate to GERD or the need for Nissen Fundoplication. Weight gain is not directly associated with GERD symptoms and may occur post-surgery due to changes in diet or activity levels.
B. Esophageal reflux is a central symptom of GERD and a primary reason for considering Nissen Fundoplication. While flatulence can occur with various gastrointestinal issues, it is not a hallmark symptom of GERD. Chronic cough may result from acid reflux irritating the throat, but this option does not emphasize the most common and significant symptoms related to the surgery.
C. Epigastric pain may occur in GERD but is not a defining symptom prompting surgery. Hoarseness can result from acid reflux affecting the vocal cords, yet it is not a primary reason for Nissen Fundoplication. Diarrhea is not typically associated with GERD and does not connect to the reasons for the procedure.
D. Heartburn is the classic symptom that drives many patients to seek surgical intervention. Gastroesophageal reflux directly indicates the condition being treated, and chest pain can be a significant discomfort caused by acid reflux.

A. Wear gloves when assessing the client. B. Instruct family members not to use client restroom. C. Move the client to a private room. D. Utilize alcohol-based hand hygiene. E. Wear a surgical mask when obtaining client vital signs.

Correct Answer is ["A","B","C"]

Explanation

A.Gloves should be worn to protect the healthcare provider from potential exposure to C. diff spores, which can be present in the client’s stool. It also prevents the spread of infection to other patients and surfaces.
B.C. diff is highly contagious, and the spores can persist on surfaces. Restricting family members from using the client's restroom helps reduce the risk of spreading the infection to others, especially in shared facilities.
C.Placing the client in a private room helps prevent the spread of C. diff to other patients, particularly in healthcare settings. This isolation is critical for controlling outbreaks of this infection.
D. This is not recommended for C. diff. While alcohol-based hand sanitizers are effective against many pathogens, they do not effectively kill C. diff spores. Handwashing with soap and water is the preferred method after caring for a C. diff patient to ensure thorough removal of spores.
E. C. diff is primarily transmitted via the fecal-oral route, and droplet precautions are not required. Masks are typically used for respiratory infections, not for gastrointestinal infections like C. diff.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is providing teaching to a patient following a gastric bypass. Which statement by the patient indicates an understanding of the need for lifelong monitoring and lifestyle changes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which signs and symptoms would the nurse expect to find in the history of a patient that is going for a Nissen Fundoplication surgery?

Correct Answer is D

Explanation

The nurse is caring for a client with Clostridium Difficile. Which of the following infection control precautions should the nurse implement?(Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

Which of the following increase the risk of developing Clostridium Difficile. (Select All that Apply.)

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse recognize as a risk factor for this condition?

Which of the following responses should the nurse offer to a patient who asks why he's having a vagotomy to treat his ulcer?

A nurse is performing the initial history and physical examination of a patient diagnosed with a duodenal ulcer. Which type of pain does the nurse expect the patient to describe?

The nurse is caring for a patient with suspected cholecystitis. Which of the following is not a manifestation of cholecystitis?

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?

When scheduling diagnostic tests, which of the following would the nurse schedule last?

The patient reports experiencing frequent watery stools after eating undercooked meat at a restaurant. Which health care provider prescription would the nurse implement first?