A nurse practicing population health works for a local hospital's weight-loss program for bariatric patients. After assisting to implement various health-style changes in their care plans, which of the following findings would indicate to the nurse that the interventions are working?

The patients have lowered their cholesterol levels from previous laboratory results.

The patients have improved blood pressure readings to be within expected reference range.

The patients are choosing healthier food options for their diet plans.

There is a significant decrease in the patients BMI measurements.

Answer and Explanation

The Correct Answer is D

A. The patients have lowered their cholesterol levels from previous laboratory results: Lower cholesterol levels are a positive health outcome but could result from factors other than weight loss, such as medication or diet changes. It is a good sign but not the most direct measure of the intervention's success.

B. The patients have improved blood pressure readings to be within expected reference range: Blood pressure improvements are important and can result from weight loss, but other factors like medications could influence this outcome.

C. The patients are choosing healthier food options for their diet plans: While choosing healthier food options is a positive behavior change, it is a process measure rather than an outcome. It does not necessarily indicate the interventions are working as effectively as a decrease in BMI.

D. There is a significant decrease in the patients' BMI measurements. A significant reduction in BMI is the most direct indicator of effective weight-loss interventions. A decrease in BMI reflects a measurable outcome that directly relates to weight loss.

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Correct Answer is D

Explanation

A. "You will need to avoid high-fiber foods to prevent blockages": While caution with high-fiber foods may be needed initially, long-term, a balanced diet including fiber can help regulate bowel movements and prevent constipation. This statement could cause unnecessary concern.

B. "The output from your stoma will be mostly liquid": This statement is incorrect for a sigmoid colostomy, where the stool tends to be more formed since it is further along the digestive tract. Liquid output is more common with ileostomies or colostomies higher in the colon.

C. "You will need to change your colostomy bag every 24 hours":
Rationale: Colostomy bag changes depend on several factors, including the type of appliance and personal preferences. Bags are not changed on a strict 24-hour schedule but are emptied as needed and changed every few days or when required.

D. "Your stoma will be located on the left side of your abdomen." A sigmoid colostomy is typically located on the left lower quadrant of the abdomen, as this is the anatomical location of the sigmoid colon.

A. Dumping Syndrome B. Peptic Ulcer Disease C. Gastroesophageal Reflux Disease (GERD) D. Irritable Bowel Syndrome (B5)

Correct Answer is A

Explanation

A. Dumping Syndrome: Dumping syndrome is a common complication following gastrectomy, where food moves too quickly from the stomach to the small intestine. Symptoms such as weakness, dizziness, and sweating, particularly after meals, are characteristic of this condition.

B. Peptic Ulcer Disease: While this can occur after gastrectomy, it typically presents with epigastric pain rather than weakness and dizziness after eating.

C. Gastroesophageal Reflux Disease (GERD): GERD typically presents with heartburn and acid regurgitation, not the postprandial weakness and sweating seen in dumping syndrome.

D. Irritable Bowel Syndrome (IBS): IBS symptoms usually include bloating, abdominal discomfort, and altered bowel habits, which are different from the described symptoms.

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A nurse practicing population health works for a local hospital's weight-loss program for bariatric patients. After assisting to implement various health-style changes in their care plans, which of the following findings would indicate to the nurse that the interventions are working?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

A female patient recently underwent a partial gastrectomy and is now presenting with symptoms of weakness, dizziness, and sweating, particularly after meals. Based on these symptoms, what is the most likely diagnosis?

Correct Answer is A

Explanation

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