Chapter 45: Obesity Flashcards
Bariatric Surgery Focused
involves surgery on the stomach and/or intestines to help a person with extreme obesity lose weight
bariatric surgery
What is the only treatment that has a successful and lasting impact on sustained weight loss for those with extreme obesity?
surgery
What must your BMI be to be a qualified candidate for bariatric surgery?
over 40 BMI
__________ procedures reduce the size of the stomach, so less food is heated.
a. restrictive
b. malabsorptive
c. combination
a. restrictive
In _________ procedures, the small intestine is shortened or bypassed, so less food is absorbed.
a. restrictive
b. malabsorptive
c. combination
b. malabsorptive
limiting the stomach size with an inflatable band placed around the fundus of the stomach
a. adjustable gastric banding
b. gastric sleeve
c. gastric plication
d. intragastric balloon
a. adjustable gastric banding
inflated balloon used to occupy space in the stomach
a. adjustable gastric banding
b. Roux-en-Y gastric bypass
c. gastric plication
d. intragastric balloon
d. intragastric balloon
involves creating a small gastric pouch and attaching it directly to the small intestine using a Y-shaped limb of the small bowel
a. adjustable gastric banding
b. Roux-en-Y gastric bypass
c. gastric plication
d. intragastric balloon
b. Roux-en-Y gastric bypass
After sleeve gastrectomy, a 42-yr-old male patient returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a patient-controlled analgesia (PCA) machine for pain control. Which nursing action would be included in the postoperative plan of care?
a. Offer sips of fruit juices at frequent intervals.
b. Irrigate the nasogastric (NG) tube frequently.
c. Remind the patient that PCA use may slow the return of bowel function.
d. Support the surgical incision during patient coughing and turning in bed.
d. Support the surgical incision during patient coughing and turning in bed.
Which information would the nurse teach patients about self-management after gastric bypass surgery?
a. Drink fluids between meals but not with meals.
b. Choose high-fat foods for at least 30% of intake.
c. Developing flabby skin can be prevented by exercise.
d. Choose foods high in fiber to promote bowel function.
a. Drink fluids between meals but not with meals.
A patient is being admitted for bariatric surgery. Which nursing action can the nurse delegate to assistive personnel (AP)?
a. Demonstrate use of the incentive spirometer.
b. Plan methods for turning the patient after surgery.
c. Assist with IV insertion by holding adipose tissue out of the way.
d. Develop strategies to provide privacy and decrease embarrassment
c. Assist with IV insertion by holding adipose tissue out of the way.
The nurse is caring for a patient on the first postoperative day after a Roux-en-Y gastric bypass procedure. Which assessment finding should be reported immediately to the provider?
a. Bilateral crackles audible at both lung bases
b. Redness, irritation, and skin breakdown in skinfolds
c. Emesis of bile-colored fluid past the nasogastric (NG) tube
d. Use of patient-controlled analgesia (PCA) several times an hour for pain
c. Emesis of bile-colored fluid past the nasogastric (NG) tube
Which information will the nurse prioritize in planning preoperative education for a patient undergoing a Roux-en-Y gastric bypass?
a. Explaining the nasogastric (NG) tube to the patient
b. Teaching the patient coughing and breathing techniques
c. Discussing necessary postoperative modifications in lifestyle
d. Demonstrating passive range-of-motion exercises for the legs
b. Teaching the patient coughing and breathing techniques
