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What is A. A stroke victim who failed their swallow evaluation
Which patient would benefit from a Nasogastric Tube?
A. A stroke victim who failed their swallow evaluation B. A patient with CHF C. A patient with an amputation D. A patient with an ileostomy |
What is D. Suction
(p.1249)
Which is not a method of enteral feeding?
A. Gravity drip B. Infusion pump C. Syringe D. Suction |
What is A,B,C,D,E,F
Chart 48-1 (p.1360)
Which of the following diseases is associated with obesity? (Select all that apply)
A. Type 2 diabetes B. Alzheimer's disease C. Obstructive sleep apnea D. Gout E. Hypercholesterolemia F. Asthma |
What is A. Gastric Resectioning
Roux-en-Y gastric bypass (RYGB), gastric banding, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch are the current bariatric procedures of choice (p.1369)
Which of the following is not a type of bariatric surgery?
A. Gastric resectioning B. Sleeve Gastrectomy C. Roux-en-Y D. Gastric Banding |
What is D. Gastric Reflux
A.Dysphagia, or difficulty swallowing, may occur in patients who have had any type of restrictive bariatric procedure.(p.1373) B.Dumping syndrome is an unpleasant set of vasomotor and GI symptoms that commonly occurs in patients who have had bariatric surgery(nausea, vomiting,diarrhea) (p.1373) C. Bowel or gastric outlet obstruction may occur as a complication of bariatric surgery.(p.1373)
Which of the following is not a complication of Bariatric surgery?
A. Dysphagia B. Dumping Syndrome C. Bowel Obstruction D. Gastric Reflux |
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What is B. Flush the tube with 30mL of water before and after administration
The tube is flushed with 30 mL of water before and after medication administration, and this is recorded as intake (p.1250)
Which of the following it true when administering a medication through a feeding tube?
A. Administer medication during tube feed B. Flush the tube with 30mL of water before and after administration C. Ensure patient is supine when administering medication through feeding tube D. Medication cannot be administered through a feeding tube |
What is C. Hypoglycemia
Table 44-3 (p.1251)
Which of the following is not complication of enteral therapy?
A. Diarrhea B. Aspiration Pneumonia C. Hypoglycemia D. Tube Obstruction |
What is B. Falls
Research suggests that older adults with obesity are at risk for complications that may negatively affect their quality of life. In particular, older adults with obesity may be at greater risk of falls and mobility impairments. (p.1366)
Obesity in geriatric increase the risk of
A. Hyperthermia B. Falls C. Dehydration D. Infection |
What is C. Reversible endocrine or other disorders that can cause obesity
Chart 48-6 Exclusions include: -Reversible endocrine or other disorders that can cause obesity -Current drug or alcohol abuse -Uncontrolled, severe psychiatric illness -Lack of comprehension of risks, benefits, expected outcomes, alternatives, and lifestyle changes required with bariatric surgery (p.1369)
Which of the following is an exclusion criteria to bariatric surgery?
A. Patients with BMI ≥30 kg/m2 with type 2 diabetes or metabolic syndrome B. Presence of a support network of family and friends C. Reversible endocrine or other disorders that can cause obesity D. Failure of previous nonsurgical attempts at weight loss, including nonprofessional programs |
What is B. Proton Pump Inhibitors
Bile reflux may be managed with proton pump inhibitors (e.g., omeprazole [Prilosec]) (p.1372)
Bile Reflux is treated with which class of medications?
A. Beta Blockers B. Proton Pump Inhibitors C. Cox I Inhibitors D. Andrenergic Blockers |
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What is D. Treat ulcers
GI tubes are used for -Lavage (flush with water or other fluids) the stomach and remove ingested toxins or other harmful materials -Decompress the stomach and remove gas and fluid -Compress a bleeding site -Administer tube feedings, fluids, and medications -Aspirate GI contents for analysis (p.1244)
GI tubes are used for all of the following EXCEPT
A. Lavage B. Decompressing the stomach C. Compress a bleeding site D. Treat ulcers |
What is A, B, E
Table 45-1 (p.1265)
Prevention of gingivitis includes which of the following? (Select all that apply)
A. Education about proper oral hygene B. Dental appointments C. Administering antibiotics D. Telling patient to use dentures E. Removal of causative agents |
What is A.Taking Insulin
The use of insulin treats diabetes, not obesity itself
Treatment of obesity involves all of the following EXCEPT:
A. Taking Insulin B. Improving diet habits C. Life style changes D. Increasing physical activity |
What is B. Asking the adults about situations that tend to increase appetite
Which nursing action is appropriate when coaching obese adults enrolled in a behavior modification program?
A. Having the adults write down the caloric intake of each meal B. Asking the adults about situations that tend to increase appetite C. Suggesting that the adults plan rewards, such as sugarless candy, for achieving their goals D. Encouraging the adults to eat small amounts frequently rather than having scheduled meals |
What is D. may have only liquids orally, and in very limited amounts, during the early postoperative period
The nurse counsels the patient anticipating bariatric surgery to ingest nothing but clear liquids for a specified period of time preoperatively and postoperatively (typically about 24 to 48 hours before and after surgery) (p.1371)
A morbidly obese patient has undergone Roux-en-Y gastric bypass surgery. In planning postoperative care, the nurse anticipates that the patient
A. May have severe diarrhea early in the postoperative period B. Will not be allowed to ambulate for 1 or 2 days postoperatively C. Will require nasogastric suction until healing of the incision occurs D. May have only liquids orally, and in very limited amounts, during the early postoperative period |
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What is B. 30-40 mmHg
The Levin tube has a single lumen (channel within a tube or catheter) and is made of plastic or rubber. This tube is connected to low intermittent suction (30 to 40 mmHg) to avoid erosion or tearing of the stomach lining, which can result from adherence of the tube’s lumen to the mucosa of the stomach (p.1244)
The appropriate amount of suction for a Levin Tube is
A. 20-30 mmHg B. 30-40 mmHg C. 40-50 mmHg D. 50-60 mmHg |
What is B. Medication
Risk factors for cancer of the oral cavity and pharynx include any use of any form of tobacco (cigarette, cigar, and pipe, and smokeless tobacco), excessive use of alcohol, infection with human papillomavirus (HPV), and a history of previous head and neck cancer (p.1270)
Which is not a risk factor for cancer of the mouth and throat?
A. Alcohol B. Medication C. HPV D. Previous history of head and neck cancer |
What is C. 35-39.9
Overweight/Pre-obese: 25-29.9 Class I obesity: 30-34.9 Class II obesity: 35-39.9 Class III obesity: >=40 (p.1361)
What is the BMI range for Class II Obesity?
A. 25-29.9 B. 30-34.9 C. 35-39.9 D. >=40 |
What is A. Drink fluids between meals but not with meals
Chart 48-7 (p.1372)
The nurse will be teaching self-management to patients after gastric bypass surgery. Which information will the nurse plan to include?
A. Drink fluids between meals but not with meals. B. Choose high-carbohydrate foods for at least 30% of intake. C. Developing flabby skin can be prevented by exercise. D. Choose foods high in fiber to promote bowel function. |
What is A. Endoscopy
Upper endoscopy is the preferred diagnostic procedure because it allows direct visualization of inflammatory changes, ulcers, and lesions. (p.1298)
Diagnostic testing is planned for a patient with a suspected peptic ulcer. The nurse explains to the patient that the most reliable test for determining the presence and location of an ulcer is a(n)
A.Endoscopy. B.Gastric analysis. C.Barium swallow. D.Serologic test for Helicobacter pylori. |
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What is C. Gastric/intestinal decompression
-Patient will be NPO prior to surgery -Medications will be administered through IV
The purpose of a NG tube prior to bariatric surgery is to
A. Provide nutrients to the patient B. Administer medications C. Gastric/intestinal decompression D. Provide hydration |
What is A, B, C, D
Symptoms may include pyrosis (heartburn, specifically more commonly described as a burning sensation in the esophagus), dyspepsia (indigestion), regurgitation, dysphagia or odynophagia, hypersalivation, and esophagitis. The symptoms may mimic those of a heart attack (p.1283)
Which of the following is a symptom of GERD? (Select all that apply)
A. Pyrosis B. Dyspepsia C. Regurgitation D. Hypersalivation E. Laryngeal damage F. Dental erosion |
What is D. orlistat (Xenical)
Today, there are five antiobesity medications that may be prescribed over the long term to assist in decreasing and then maintaining a lower BMI. Of these, only one, orlistat (Xenical), was FDA approved prior to 2012 (p.1364) *All other options are actually attributed to weight gain* (Chart 48-2 p.1362)
Which medication is the only FDA approved medication to lower BMI?
A. olanzapine (Zyprexa) B. atenolol (Tenormin) C. gabapentin (Neurontin) D. orlistat (Xenical) |
What is A,B,C,D,E
(p.1362)
Which of the following lifestyle modifications should be given to a patient with obesity?
A. A caloric deficit of 500-1000 calories per day B. Increase physical activity C. Set obtainable weight loss goals D. Get at least 7 hrs of sleep each night E. Create a 24 hr food journal |
What is C. NG Tube insertion
Insertion of NG tubes is contraindicated in the patient post bariatric surgery. This procedure may disrupt the surgical suture line and cause anastomotic leak or hemorrhage (p.1373)
Which of the following is contraindicated for postoperative care for bariatric surgery?
A. Balloon dilation B. Self-expandable metal stent (SEMS) placement C. NG Tube insertion D. Surgical revision |
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