RN-test Your Knowledge Of Bariatric care For Unit Based RN's
Let's test your knowledge of Bariatric Patient's. . . .
- 1.
Serious complications of Bariatric Surgery include which of the following:
- A.
Hemorrhage
- B.
Ulcers
- C.
Bowel obstruction
- D.
Anastomotic Leak
- E.
Pulmonary emboli
- F.
All of the above
Correct Answer
F. All of the aboveExplanation
Bariatric surgery is a major surgical procedure that involves significant risks. Hemorrhage refers to excessive bleeding, ulcers are open sores in the stomach or intestines, bowel obstruction is a blockage in the digestive system, anastomotic leak is a leakage at the site where two parts of the intestine are joined, and pulmonary emboli are blood clots in the lungs. All of these complications can occur after bariatric surgery, making "All of the above" the correct answer.Rate this question:
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- 2.
What are the possible signs and symptoms of post operative leak?
- A.
Tachycardia greater than 120 bpm
- B.
Bile or “motor oil” drainage from JP drain (if present)
- C.
Fever greater than 100.4 degrees
- D.
Tachypnea greater than 20 RR or increased oxygen needs
- E.
Severe shoulder, abdominal or back pain
- F.
Anxiety
- G.
All of the above
Correct Answer
A. Tachycardia greater than 120 bpmExplanation
Tachycardia greater than 120 bpm can be a possible sign or symptom of post-operative leak. Tachycardia refers to a rapid heart rate, and if it exceeds 120 beats per minute, it may indicate a potential complication such as a leak. This increased heart rate can occur due to the body's response to inflammation or infection caused by the leak. Therefore, monitoring the heart rate is crucial in identifying and managing post-operative leaks.Rate this question:
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- 3.
Management of an anastomotic leak includes Upper GI, Abd. CT, possible surgical intervention and notifying a bariatric surgeon.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The given statement is true. Management of an anastomotic leak, which is a complication that can occur after surgery, typically involves several steps. Upper GI and abdominal CT scans are usually performed to diagnose the leak and assess its severity. Surgical intervention may be necessary to repair the leak and prevent further complications. It is also important to notify a bariatric surgeon, as they specialize in weight loss surgery and are experienced in managing complications specific to bariatric procedures.Rate this question:
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- 4.
Please list 3 interventions that can be included in the plan of care of patients post gastric band placement complaining of abdominal pain?
- A.
Lower GI with Gastrografin, IV hydration, Physician to deflate band
- B.
Upper GI with Gastrografin, Physician to deflate band, IV hydration
Correct Answer
B. Upper GI with Gastrografin, Physician to deflate band, IV hydrationExplanation
The correct answer is Upper GI with Gastrografin, Physician to deflate band, IV hydration. This is because an upper GI with Gastrografin can help identify any complications or issues with the gastric band placement that may be causing the abdominal pain. Deflating the band under the guidance of a physician can relieve any pressure or discomfort that may be contributing to the pain. IV hydration is important to maintain fluid balance and support overall recovery.Rate this question:
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- 5.
Potential sources of sepsis/fever in the bariatric patient include
- A.
Leak
- B.
Pneumonia
- C.
UTI
- D.
Wound infection
- E.
Abdominal abscess
- F.
All of the above
Correct Answer
F. All of the aboveExplanation
The potential sources of sepsis/fever in a bariatric patient can include a leak in the surgical site, pneumonia, urinary tract infection (UTI), wound infection, and abdominal abscess. All of these conditions can lead to an infection, which can cause sepsis or fever in the patient. Therefore, all of the above options are correct potential sources of sepsis/fever in a bariatric patient.Rate this question:
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- 6.
A patient post gastric bypass and is complaining of abdominal pain and nausea. Abdominal pain is unresolved with narcotics. All are expected interventions except?
- A.
Call and consult GI physician
- B.
Call and consult bariatric surgeon
- C.
CT with oral and IV contrast
- D.
Work up possible internal hernia & small bowel obstruction
Correct Answer
A. Call and consult GI physicianExplanation
The correct answer is "Call and consult GI physician." This is because the patient has already undergone gastric bypass surgery, which is a procedure performed by a GI physician. Therefore, it is expected that the GI physician would already be involved in the patient's care and would be the appropriate healthcare professional to consult in this situation. The other options, such as consulting a bariatric surgeon, performing a CT with oral and IV contrast, and working up possible internal hernia and small bowel obstruction, are all expected interventions in this scenario.Rate this question:
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- 7.
What is the fluid intake goal for post-op bariatric patient right after surgery? Fluid goal is at least ______oz. per day and to drink at least ___oz. of fluids every ___to _____minutes (increase as tolerated). As instructed on Bariatric Post Op Diet Progression form.
- A.
20 oz, 3 oz, 15min, 30 mins
- B.
34 oz, 1 oz, 10 mins, 20 mins
- C.
64 oz, 1oz, 5 mins, 15 min
Correct Answer
C. 64 oz, 1oz, 5 mins, 15 minExplanation
The fluid intake goal for a post-op bariatric patient right after surgery is to consume at least 64 oz. of fluids per day. Additionally, they should drink at least 1 oz. of fluids every 5 minutes, increasing the frequency as tolerated, with a minimum of 15 minutes between each intake. This information is provided on the Bariatric Post Op Diet Progression form.Rate this question:
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- 8.
What is included in a Bariatric Post Op Phase I Diet for post-op bariatric patients?
- A.
Low-fat soup, Hi-protein drink -Isopure, clear liquid drink
- B.
Hi-protein drink -Isopure, clear liquids, apple juice
- C.
Water, non-fat milk, broth
- D.
Hi-protein drink-Isopure, water, broth
Correct Answer
D. Hi-protein drink-Isopure, water, brothExplanation
The Bariatric Post Op Phase I Diet for post-op bariatric patients includes a hi-protein drink (Isopure) for adequate protein intake, water for hydration, and broth for additional nutrients and hydration. This phase focuses on consuming clear liquids and easily digestible foods to allow the stomach to heal after surgery. The inclusion of a hi-protein drink helps meet the protein needs of the patient while they are on a restricted diet.Rate this question:
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- 9.
Circle bariatric resources available to staff.
- A.
Bariatric resource binder available on units, 5N, ICU, PCU,ED
- B.
Martha Lopez (x7767), Bariatric coordinator
- C.
5North nursing staff
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The correct answer is "All of the above" because all the mentioned options, such as the bariatric resource binder available on units, the contact information for the bariatric coordinator Martha Lopez, and the 5North nursing staff, are examples of bariatric resources available to staff.Rate this question:
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- 10.
Which of the following symptoms/findings should be reported to the physician when caring for a post-op bariatric patient?
- A.
Abdominal or back pain unrelieved by pain medication
- B.
Nausea/Vomiting
- C.
HR=105 / BP = 90/50
- D.
Fever of 100.5
- E.
Urine output
- F.
Black tarry stools, usual bleeding or bruising
- G.
Sudden chest pain / SOB
- H.
Motor oil leakage (if patient has a drain)
- I.
All of the above
Correct Answer
I. All of the aboveExplanation
All of the symptoms/findings listed should be reported to the physician when caring for a post-op bariatric patient. Abdominal or back pain unrelieved by pain medication, nausea/vomiting, abnormal heart rate and blood pressure, fever, decreased urine output, black tarry stools or unusual bleeding or bruising, sudden chest pain or shortness of breath, and motor oil leakage (if patient has a drain) can all be signs of complications or problems following bariatric surgery. It is important to report these symptoms/findings to the physician for further evaluation and appropriate management.Rate this question:
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Mar 21, 2023Quiz Edited by
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Apr 18, 2014Quiz Created by
Joe Powers
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