The nurse is caring for a patient with obesity who is being considered for bariatric surgery. Which do the criteria guidelines for bariatric surgery include?

BMI of 28 kg/m² or more

BMI of 32 kg/m² or more with other significant co-morbidities

BMI of 30 kg/m² or more

Body mass index (BMI) of 40 kg/m² or more

Answer and Explanation

The Correct Answer is D

A. A BMI of 28 kg/m² is considered overweight, but it does not meet the threshold for bariatric surgery, which typically requires a BMI of 40 or more.
B. While a BMI of 32 kg/m² may be relevant when combined with significant co-morbidities (like type 2 diabetes or hypertension), the standard guideline for bariatric surgery generally requires a BMI of 40 or higher, or 35 with comorbid conditions.
C. A BMI of 30 kg/m² is classified as obese, but bariatric surgery is generally considered for those with a BMI of 40 or higher, or 35 with severe comorbidities.
D. A BMI of 40 kg/m² or more is the standard criteria for bariatric surgery, particularly when other treatments (such as diet, exercise, and medication) have failed, or when obesity-related health issues are present.

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Correct Answer is B

Explanation

A. Taking inhaled beclomethasone with meals is not necessary, as this medication works locally in the lungs and does not require food to be absorbed or tolerated.
B. Rinsing the mouth after using inhaled corticosteroids like beclomethasone is important to prevent the development of oral thrush (a fungal infection) and reduce the risk of other side effects, such as hoarseness.
C. Checking the pulse after medication administration is not required for beclomethasone. While some medications affect heart rate, inhaled corticosteroids like beclomethasone are not typically associated with this effect.
D. Limiting caffeine intake is not necessary when using beclomethasone. Caffeine is a stimulant that may interact with some medications, but it does not typically interfere with corticosteroids used in asthma treatment.

A. Wheezes B. Stridor C. Crackles D. Rhonchi

Correct Answer is A

Explanation

A. Wheezes are continuous, high-pitched musical sounds produced by the narrowing of airways, commonly heard in conditions like asthma. They occur mainly during exhalation and are indicative of airflow obstruction.
B. Stridor is a high-pitched, harsh sound that occurs during inspiration, often associated with an upper airway obstruction, such as laryngospasm or a foreign body.
C. Crackles are fine, crackling sounds heard during inspiration, typically due to fluid accumulation in the lungs (e.g., in pneumonia or heart failure).
D. Rhonchi are low-pitched, snoring sounds caused by the obstruction or narrowing of larger airways, often heard in conditions like chronic bronchitis, but they are not high-pitched like wheezes.

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The nurse is caring for a patient with obesity who is being considered for bariatric surgery. Which do the criteria guidelines for bariatric surgery include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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