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

10 Questions | Total Attempts: 522

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

Let's test your knowledge of Bariatric Patient's. . . .


Questions and Answers
  • 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

  • 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

  • 3. 
    Management of an anastomotic leak includes Upper GI, Abd. CT, possible surgical intervention and notifying a bariatric surgeon.    
    • A. 

      True

    • B. 

      False

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

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