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

Nausea, belching, weight gain.

Esophageal reflux, flatulence, chronic cough.

Epigastric pain, hoarseness, diarrhea.

Heartburn, gastroesophageal reflux, chest pain.

Answer and Explanation

The Correct Answer is D

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.

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

Explanation

A. Living independently does not inherently increase the risk for C. difficile. Risk factors are more related to antibiotic use, exposure in healthcare settings, and individual health conditions rather than the living situation itself.
B. A weakened immune system (due to conditions like HIV/AIDS, cancer, or immunosuppressive therapy) can increase susceptibility to infections, including C. difficile. Individuals with compromised immunity are less able to fight off infections.
C. The use of antibiotics is a significant risk factor for C. difficile infection. Antibiotics can disrupt the normal gut flora, leading to overgrowth of C. difficile and subsequent infection.
D. While watery diarrhea is a common symptom of C. difficile infection, it is not a risk factor for developing the infection itself. Instead, it indicates that the infection is already present. Thus, this option does not contribute to the risk of developing C. difficile.
E. Fever is often a symptom of an underlying infection but is not a direct risk factor for developing C. difficile. It can occur with C. difficile infection but does not increase the likelihood of becoming infected.

A. "I can stop using behavior modification practices to promote weight loss after surgery." B. "I can expect improvement of my blood pressure and a reduced risk for Diabetes because I had the surgery." C. "A gastric sleeve is a permanent procedure that does not allow for reversal." D. "The gastric bypass procedure creates a small stomach pouch to restrict food intake."

Correct Answer is A

Explanation

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

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Naxlex Comprehensive Predictor Exams

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

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

Explanation

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?

Correct Answer is A

Explanation

A 1-month old infant is admitted to the emergency room with severe diarrhea. Which of the following assessments suggests the infant is severely dehydrated?

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

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

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?

The nurse is teaching a client with gastroesophageal reflux disease (GERD) about dietary and lifestyle modifications. Which of the following should the nurse include in the teaching plan?(Select All that Apply.)

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 patient who is morbidly obese has just undergone gastric bypass surgery. Which immediate post-operative intervention has the greatest priority?

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.)