An adult female client has a body mass index of 34.5 kg/m2 and has expressed interest in bariatric surgery. What characteristic of the client's health status may exclude her from being an appropriate surgical candidate?

The client quit smoking 6 months ago.

The client has a strong family history of obesity.

The client drinks six to eight cans of beer daily.

The client has poorly controlled type 2 diabetes.

Answer and Explanation

The Correct Answer is C

Choice A reason: The client quitting smoking 6 months ago is not a factor that would exclude her from being an appropriate surgical candidate. In fact, smoking cessation is a requirement for bariatric surgery, as smoking increases the risk of complications such as infection, thrombosis, and poor wound healing.

Choice B reason: The client having a strong family history of obesity is not a factor that would exclude her from being an appropriate surgical candidate. Family history is one of the genetic factors that can contribute to obesity, but it does not determine the eligibility for bariatric surgery. Other factors such as BMI, comorbidities, lifestyle, and motivation are more important.

Choice C reason: The client drinking six to eight cans of beer daily is a factor that would exclude her from being an appropriate surgical candidate. Alcohol abuse is a contraindication for bariatric surgery, as it can cause liver damage, malnutrition, dehydration, and addiction transfer. The client would need to abstain from alcohol for at least 6 months before and after the surgery.

Choice D reason: The client having poorly controlled type 2 diabetes is not a factor that would exclude her from being an appropriate surgical candidate. Type 2 diabetes is one of the comorbidities that can qualify a client for bariatric surgery, as it can improve or resolve after the surgery. However, the client would need to have a good glycemic control before the surgery to reduce the risk of complications.

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Correct Answer is A

Explanation

Choice A reason: This is a correct finding for a client with an obstruction of the common bile duct. Fatty stools are caused by the reduced or absent flow of bile into the intestine, which impairs the digestion and absorption of fats.

Choice B reason: This is not a correct finding for a client with an obstruction of the common bile duct. Tenderness in the left upper abdomen may indicate a problem with the spleen, the stomach, or the pancreas, but not the bile duct.

Choice C reason: This is not a correct finding for a client with an obstruction of the common bile duct. Ecchymosis of the extremities is a bruising of the skin due to bleeding under the surface. It may be caused by trauma, medication, or bleeding disorders, but not by bile duct obstruction.

Choice D reason: This is not a correct finding for a client with an obstruction of the common bile duct. Pale-colored urine is a sign of dilute or low concentration of urine, which may be caused by excessive fluid intake, diabetes insipidus, or kidney failure, but not by bile duct obstruction.

A. You need to have your medications adjusted so you need to be admitted to the hospital for a complete workup. B. You build up too much urine in your bladder, which can cause you to get confused. C. Dehydration can cause changes that can result in confusion, so let's try to increase your fluid intake. D. Urinary tract infections are common and can cause confusion, so it's important not to urinate at night.

Correct Answer is C

Explanation

Choice A reason: This is not the best response because it is alarmist and does not address the client's concern. The nurse should not assume that the client needs to have their medications adjusted or be admitted to the hospital without further assessment.

Choice B reason: This is not the best response because it is inaccurate and does not explain the link between urine retention and confusion. The nurse should not imply that the client is causing their own confusion by not drinking enough water.

Choice C reason: This is the best response because it is accurate and educates the client on the effects of dehydration on the body. The nurse should encourage the client to drink more fluids throughout the day and offer strategies to make it easier for them to access the bathroom at night.

Choice D reason: This is not the best response because it is irrelevant and does not address the client's dehydration. The nurse should not suggest that the client has a urinary tract infection without evidence or testing. The nurse should also not discourage the client from urinating at night, as this can lead to other complications.

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An adult female client has a body mass index of 34.5 kg/m2 and has expressed interest in bariatric surgery. What characteristic of the client's health status may exclude her from being an appropriate surgical candidate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholelithiasis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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