CNA-test Our Knowledge Of Bariatric care For CNA's

1. Bariatric sensitivity includes planning a safe and appropriate Bariatric environment (i.e. bed, gown, BP cuff, chair, WC, BS commode).

True

False

The statement is true because bariatric sensitivity involves considering the specific needs and requirements of individuals who are overweight or obese. This includes ensuring that the environment is safe and suitable for their size, such as having larger beds, gowns, and chairs that can support their weight. Additionally, having appropriate equipment like blood pressure cuffs and commodes that can accommodate bariatric patients is essential for their comfort and well-being.

Explanation

The statement is true because bariatric sensitivity involves considering the specific needs and requirements of individuals who are overweight or obese. This includes ensuring that the environment is safe and suitable for their size, such as having larger beds, gowns, and chairs that can support their weight. Additionally, having appropriate equipment like blood pressure cuffs and commodes that can accommodate bariatric patients is essential for their comfort and well-being.

2. Patients seem to breathe more easily when the HOB is at 30degrees

True

False

When the HOB (head of bed) is at 30 degrees, it allows for better lung expansion and improved ventilation. This position helps to reduce pressure on the diaphragm and allows the lungs to fully expand, making it easier for patients to breathe. By elevating the head of the bed, it also helps to prevent aspiration and reduce the risk of pneumonia. Therefore, it is true that patients seem to breathe more easily when the HOB is at 30 degrees.

Explanation

When the HOB (head of bed) is at 30 degrees, it allows for better lung expansion and improved ventilation. This position helps to reduce pressure on the diaphragm and allows the lungs to fully expand, making it easier for patients to breathe. By elevating the head of the bed, it also helps to prevent aspiration and reduce the risk of pneumonia. Therefore, it is true that patients seem to breathe more easily when the HOB is at 30 degrees.

3. Obese patients are often ashamed, embarrassed, overwhelmed by the obesity. As staff we need to:

Tell the patient not to worry.

Say, “Hey, I’ve struggled with my weight my whole life, too.”

Encourage questions, be an active listener, offer support, and help define realistic expectations

Tell the patient that “you can’t help being overweight, it’s your parents’ fault.”

This answer is correct because it emphasizes the importance of creating a supportive and understanding environment for obese patients. Encouraging questions allows the patient to express their concerns and seek clarification, while being an active listener shows empathy and validates their experiences. Offering support and helping to define realistic expectations can help the patient feel more empowered and motivated to make positive changes in their health.

Explanation

This answer is correct because it emphasizes the importance of creating a supportive and understanding environment for obese patients. Encouraging questions allows the patient to express their concerns and seek clarification, while being an active listener shows empathy and validates their experiences. Offering support and helping to define realistic expectations can help the patient feel more empowered and motivated to make positive changes in their health.

4. Post-op bariatric patients can drink/eat/or use the following: alcohol, caffeine, gum, straws, or carbonated beverages.

True

False

The statement is false because post-op bariatric patients are typically advised to avoid consuming alcohol, caffeine, gum, straws, and carbonated beverages. These substances can have negative effects on the healing process and may cause discomfort or complications. It is important for bariatric patients to follow a specific diet and lifestyle guidelines to ensure proper recovery and long-term success after surgery.

Explanation

The statement is false because post-op bariatric patients are typically advised to avoid consuming alcohol, caffeine, gum, straws, and carbonated beverages. These substances can have negative effects on the healing process and may cause discomfort or complications. It is important for bariatric patients to follow a specific diet and lifestyle guidelines to ensure proper recovery and long-term success after surgery.

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

Abdominal or back pain unrelieved by pain medication

HR=105 , BP=90/50, Urine output

Nausea and Vomiting

Temp.= 98.9

Shortness of breath, Sudden chest pain

Black tarry stools, usual bleeding or bruising

Motor oil leakage (if patient has a drain)

All of the above

All of the above except d

All of the symptoms/findings listed should be reported to the RN when caring for a post-op bariatric patient, except for motor oil leakage if the patient has a drain. Abdominal or back pain unrelieved by pain medication, high heart rate and low blood pressure, decreased urine output, nausea and vomiting, shortness of breath and sudden chest pain, black tarry stools or unusual bleeding or bruising, are all potential signs of complications or adverse reactions that require medical attention. However, motor oil leakage is not a typical symptom or finding that would be expected after bariatric surgery and may not be relevant to the patient's condition.

Explanation

All of the symptoms/findings listed should be reported to the RN when caring for a post-op bariatric patient, except for motor oil leakage if the patient has a drain. Abdominal or back pain unrelieved by pain medication, high heart rate and low blood pressure, decreased urine output, nausea and vomiting, shortness of breath and sudden chest pain, black tarry stools or unusual bleeding or bruising, are all potential signs of complications or adverse reactions that require medical attention. However, motor oil leakage is not a typical symptom or finding that would be expected after bariatric surgery and may not be relevant to the patient's condition.

6. Which of the following nursing interventions should you encourage your patients to exercise throughout your shift?

Foot pumps

Ambulate

Incentive spirometer

Call for help when needed

Encourage to drink Isopure

All of the above

Encouraging patients to exercise throughout the shift is important for their overall health and well-being. Foot pumps can help improve circulation and prevent blood clots. Ambulating, or walking, can help prevent muscle weakness and improve mobility. Using an incentive spirometer can help improve lung function and prevent respiratory complications. Calling for help when needed ensures patient safety. Encouraging patients to drink Isopure, a nutritional supplement, can help meet their dietary needs. Therefore, all of these interventions should be encouraged for patients during the shift.

Explanation

Encouraging patients to exercise throughout the shift is important for their overall health and well-being. Foot pumps can help improve circulation and prevent blood clots. Ambulating, or walking, can help prevent muscle weakness and improve mobility. Using an incentive spirometer can help improve lung function and prevent respiratory complications. Calling for help when needed ensures patient safety. Encouraging patients to drink Isopure, a nutritional supplement, can help meet their dietary needs. Therefore, all of these interventions should be encouraged for patients during the shift.

7. Which one do you like?The following are Restrictive surgeries.

Lap Band and Sleeve

Gastric Bypass

The correct answer is Lap Band and Sleeve because both of these surgeries are considered restrictive surgeries for weight loss. Lap Band surgery involves placing an adjustable band around the upper part of the stomach to create a smaller pouch, restricting the amount of food that can be consumed. Sleeve gastrectomy involves removing a portion of the stomach to create a smaller, sleeve-shaped stomach, also restricting food intake. These surgeries work by reducing the size of the stomach and promoting feelings of fullness with smaller amounts of food. Gastric Bypass, on the other hand, is a combination of restrictive and malabsorptive surgery, as it involves creating a smaller stomach pouch and rerouting the digestive system to bypass a portion of the small intestine.

Explanation

The correct answer is Lap Band and Sleeve because both of these surgeries are considered restrictive surgeries for weight loss. Lap Band surgery involves placing an adjustable band around the upper part of the stomach to create a smaller pouch, restricting the amount of food that can be consumed. Sleeve gastrectomy involves removing a portion of the stomach to create a smaller, sleeve-shaped stomach, also restricting food intake. These surgeries work by reducing the size of the stomach and promoting feelings of fullness with smaller amounts of food. Gastric Bypass, on the other hand, is a combination of restrictive and malabsorptive surgery, as it involves creating a smaller stomach pouch and rerouting the digestive system to bypass a portion of the small intestine.

8. You are taking care of a post-op Bariatric surgical patient. Which urine output below is concerning and needs to be reported to the nurse?

>50ml per hour

>100ml per hour

A urine output of 50ml per hour is concerning and needs to be reported to the nurse. This is because after a bariatric surgery, it is important for the patient to have adequate urine output to ensure proper hydration and kidney function. A urine output of less than 30ml per hour is considered oliguria, which can indicate decreased kidney function or dehydration. Therefore, a urine output of 50ml per hour is below the normal range and should be reported to the nurse for further evaluation and intervention.

Explanation

A urine output of 50ml per hour is concerning and needs to be reported to the nurse. This is because after a bariatric surgery, it is important for the patient to have adequate urine output to ensure proper hydration and kidney function. A urine output of less than 30ml per hour is considered oliguria, which can indicate decreased kidney function or dehydration. Therefore, a urine output of 50ml per hour is below the normal range and should be reported to the nurse for further evaluation and intervention.

9. What is included in a Bariatric 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

A Bariatric Phase I diet for post-op bariatric patients includes a hi-protein drink (Isopure) for adequate protein intake, water to stay hydrated, and broth for additional nutrients. This diet is designed to be easy on the stomach and provide essential nutrients while allowing the body to heal after bariatric surgery.

Explanation

A Bariatric Phase I diet for post-op bariatric patients includes a hi-protein drink (Isopure) for adequate protein intake, water to stay hydrated, and broth for additional nutrients. This diet is designed to be easy on the stomach and provide essential nutrients while allowing the body to heal after bariatric surgery.

10. What is the fluid intake goal for post-op bariatric patients? Fluid goal is at least ______oz. per day and to drink at least ___oz. of fluids every ___to_____minutes (or as tolerated) after surgery. (Bariatric progression diet)

20 oz, 3 oz, 15min, 30 mins

34 oz, 1 oz, 10 mins, 20 mins

64 oz, 1oz, 5 mins, 15 min

The fluid intake goal for post-op bariatric patients is to consume at least 64 oz of fluids per day. Additionally, they should aim to drink at least 1 oz of fluids every 5 minutes to 15 minutes, or as tolerated, after surgery.

Explanation

The fluid intake goal for post-op bariatric patients is to consume at least 64 oz of fluids per day. Additionally, they should aim to drink at least 1 oz of fluids every 5 minutes to 15 minutes, or as tolerated, after surgery.