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Chapter 28: Care of Patients with Disorders of the Upper Gastrointestinal System |deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition$4.07
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MULTIPLE CHOICE
1. The nurse explains that the diagnosis of morbidly obese is reserved for people who exceed which percentage of their recommended weight?
a. 50%
b. 70%
c. 90%
d. 100%
ANS: D
Those people who weigh 100% over their recommended weight are considered morbidly obese.
PTS:1 ...
Chapter 28: Care of Patients with
Disorders of the Upper
Gastrointestinal System
deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition
MULTIPLE CHOICE
1.The nurse explains that the diagnosis of morbidly obese is reserved for people who exceed which percentage of their recommended weight?
a.50%
b.70%
c.90%
d.100%
ANS: D
Those people who weigh 100% over their recommended weight are considered morbidly obese.
PTS:1DIF:Cognitive Level: Comprehension REF:645
OBJ:1TOP:Obesity: Morbid Obesity
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
2.The nurse calculates the body mass index (BMI) of a man who is 6 feet tall and weighs 150 pounds. Which value is correct? a.21.0
b.25.0
c.43.1
d.66.3
ANS: A
The formula to calculate BMI is: weight in kilograms divided by height in meters squared (68.1 kilograms ÷ 3.24 meters = 21.0).
PTS:1DIF:Cognitive Level: Application REF: 645
OBJ:1TOP:BMI: Calculation
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
3.The nurse explains that the laparoscopic adjustable gastric banding surgery is best described as which type of bariatric surgery? a.Restrictive
b.Malabsorptive
c.Restrictive/malabsorptive
d.Obstructive
ANS: A
The three types of bariatric surgery are restrictive, malabsorptive, and restrictive/malabsorptive. Laparoscopic adjustable gastric banding is performed by placing an inflatable band around the fundus of the stomach and is considered restrictive. This procedure may be performed laparoscopically. The band is inflated and deflated via a subcutaneous port to change the size of the stomach as the patient loses weight.
PTS:1DIF:Cognitive Level: Comprehension REF:646
OBJ:1TOP:Restrictive Procedures
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
4.The nurse is discussing bariatric surgery complications with a patient. Which statement indicates that the patient accurately understands the nurse’s teaching about common procedural side effects?
a.“I understand that gastric ulcers frequently occur in patients who have bariatric surgery.”
b.“Gallstones are a common occurrence in patients who have bariatric surgery.”
c.“I know an umbilical hernia might happen after I have bariatric surgery.”
d.“Unfortunately, I may experience gastritis after having bariatric surgery.”
ANS: B
Nutritional deficiencies caused by the banding result in the formation of gallstones in a large percentage of bariatric surgery patients. About a third of patients who undergo bariatric surgery develop gallstones.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 646
OBJ: 1 TOP: Bariatric Surgery: Side Effects
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5.The nurse is caring for a patient with suspected dysphagia. Which action is most appropriate for the nurse to take?
a.Encourage incentive spirometry use.
b.Instruct the patient to take practice swallows before the meal.
c.Encourage patient attempts to communicate, and pay attention to nonverbal cues.
d.Encourage the patient to keep a food diary.
ANS: B
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