RN-Test Your Knowledge Of Bariatric Care For Unit Based RN's

2.

Management of an anastomotic leak includes Upper GI, Abd. CT, possible surgical intervention and notifying a bariatric surgeon.

True
False

Correct Answer

A. True

Explanation

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.

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3.

Which of the following symptoms/findings should be reported to the physician when caring for a post-op bariatric patient?

Abdominal or back pain unrelieved by pain medication
Nausea/Vomiting
HR=105 / BP = 90/50
Fever of 100.5
Urine output
Black tarry stools, usual bleeding or bruising
Sudden chest pain / SOB
Motor oil leakage (if patient has a drain)
All of the above

Correct Answer

A. All of the above

Explanation

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.

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4.

Circle bariatric resources available to staff.

Bariatric resource binder available on units, 5N, ICU, PCU,ED
Martha Lopez (x7767), Bariatric coordinator
5North nursing staff
All of the above

Correct Answer

A. All of the above

Explanation

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.

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5.

Potential sources of sepsis/fever in the bariatric patient include

Leak
Pneumonia
UTI
Wound infection
Abdominal abscess
All of the above

Correct Answer

A. All of the above

Explanation

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.

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6.

Please list 3 interventions that can be included in the plan of care of patients post gastric band placement complaining of abdominal pain?

Lower GI with Gastrografin, IV hydration, Physician to deflate band
Upper GI with Gastrografin, Physician to deflate band, IV hydration

Correct Answer

A. Upper GI with Gastrografin, Physician to deflate band, IV hydration

Explanation

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.

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7.

What is included in a Bariatric Post Op Phase I Diet for post-op bariatric patients?

Low-fat soup, Hi-protein drink -Isopure, clear liquid drink
Hi-protein drink -Isopure, clear liquids, apple juice
Water, non-fat milk, broth
Hi-protein drink-Isopure, water, broth

Correct Answer

A. Hi-protein drink-Isopure, water, broth

Explanation

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.

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8.

A patient post gastric bypass and is complaining of abdominal pain and nausea. Abdominal pain is unresolved with narcotics. All are expected interventions except?

Call and consult GI physician
Call and consult bariatric surgeon
CT with oral and IV contrast
Work up possible internal hernia & small bowel obstruction

Correct Answer

A. Call and consult GI physician

Explanation

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.

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9.

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.

20 oz, 3 oz, 15min, 30 mins
34 oz, 1 oz, 10 mins, 20 mins
64 oz, 1oz, 5 mins, 15 min

Correct Answer

A. 64 oz, 1oz, 5 mins, 15 min

Explanation

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.

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10.

What are the possible signs and symptoms of post operative leak?

Tachycardia greater than 120 bpm
Bile or “motor oil” drainage from JP drain (if present)
Fever greater than 100.4 degrees
Tachypnea greater than 20 RR or increased oxygen needs
Severe shoulder, abdominal or back pain
Anxiety
All of the above

Correct Answer

A. Tachycardia greater than 120 bpm

Explanation

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.

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1

RN-test Your Knowledge Of Bariatric care For Unit Based RN's

Serious complications of Bariatric Surgery include which of the following:

Quiz Preview

Management of an anastomotic leak includes Upper GI, Abd. CT, possible surgical intervention and notifying a bariatric surgeon.

Which of the following symptoms/findings should be reported to the physician when caring for a post-op bariatric patient?

Circle bariatric resources available to staff.

Potential sources of sepsis/fever in the bariatric patient include

Please list 3 interventions that can be included in the plan of care of patients post gastric band placement complaining of abdominal pain?

What is included in a Bariatric Post Op Phase I Diet for post-op bariatric patients?

A patient post gastric bypass and is complaining of abdominal pain and nausea. Abdominal pain is unresolved with narcotics. All are expected interventions except?

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.

What are the possible signs and symptoms of post operative leak?

RN-test Your Knowledge Of Bariatric care For Unit Based RN's

Serious complications of Bariatric Surgery include which of the following:

Quiz Preview

Management of an anastomotic leak includes Upper GI, Abd. CT, possible surgical intervention and notifying a bariatric surgeon.

Which of the following symptoms/findings should be reported to the physician when caring for a post-op bariatric patient?

Circle bariatric resources available to staff.

Potential sources of sepsis/fever in the bariatric patient include

Please list 3 interventions that can be included in the plan of care of patients post gastric band placement complaining of abdominal pain?

What is included in a Bariatric Post Op Phase I Diet for post-op bariatric patients?

A patient post gastric bypass and is complaining of abdominal pain and nausea. Abdominal pain is unresolved with narcotics. All are expected interventions except?

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.

What are the possible signs and symptoms of post operative leak?

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.