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
- 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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