ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 48 : Assessment and Management of Patients with Obesity Questions
Question 1 of 5
After bariatric surgery, a patient who is being discharged tells the nurse, I prefer to be independent. I am not interested in any support groups. Which response by the nurse is best?
Correct Answer: B
Rationale: This statement allows the nurse to assess the individual patients potential needs and preferences. The other statements offer the patient more information about the benefits of support groups, but fail to acknowledge the patients preferences.
Question 2 of 5
A client has been prescribed lorcaserin (Belviq). What teaching is most appropriate?
Correct Answer: A
Rationale: This drug can cause constipation, so the client should increase fiber and water in the diet to prevent this from occurring. Reducing fat in the diet is important with orlistat. Lorcaserin can cause dry mouth but not decreased sweating. Loose stools are common with orlistat.
Question 3 of 5
A client just returned to the surgical unit after a gastric bypass. What action by the nurse is the priority?
Correct Answer: C
Rationale: All actions are appropriate care measures for this client; however, airway is always the priority. Bariatric clients tend to have short, thick necks that complicate airway management.
Question 4 of 5
A client is in the bariatric clinic 1 month after having gastric bypass surgery. The client is crying and says I didnt know it would be this hard to live like this. What response by the nurse is best?
Correct Answer: A
Rationale: The nurse should assess this clients coping styles and support systems in order to provide holistic care. The other options do not address the clients distress.
Question 5 of 5
A client is awaiting bariatric surgery in the morning. What action by the nurse is most important?
Correct Answer: B
Rationale: Morbidly obese clients are at high risk of venous thromboembolism and should be started on a regimen to prevent this from occurring as a priority. Answering questions about the surgery is done by the surgeon. Teaching is important, but safety comes first.