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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Monitor for postural hypotension: This is unlikely in Cushing’s syndrome, where hypertension (not hypotension) is more common due to excess cortisol and fluid retention.
B. Assess blood glucose level: Hyperglycemia is common in Cushing’s syndrome due to the effects of cortisol on glucose metabolism, so monitoring blood glucose levels is essential.
C. Monitor for an irregular heart rate: While Cushing's syndrome can lead to electrolyte imbalances that may affect heart rhythm, this is not a primary intervention in Cushing's syndrome. Monitoring for hypertension and fluid retention is more critical.
D. Assess for neck vein distention: Elevated cortisol levels can lead to fluid retention and hypertension, contributing to neck vein distention, so this is an important observation.
E. Weigh the client daily: Fluid retention and weight gain are key features of Cushing's syndrome, so daily weight monitoring helps assess fluid status and detect rapid weight gain indicative of worsening symptoms.
Correct Answer is B
Explanation
A. 4 oz diet soda: This is incorrect. Diet soda contains no sugar and will not raise the client's blood glucose level. Although it may provide some hydration, it won't address the hypoglycemia.
B. 4 oz skim milk: This is the correct choice. Skim milk contains both lactose (a sugar) and protein, which can help raise the blood glucose and stabilize it over a longer period. This is a suitable option for treating mild hypoglycemia.
C. Graham crackers: While graham crackers contain carbohydrates, they are not the most immediate or efficient choice in this case. They are slower to digest and may not raise the blood glucose level as quickly as the combination of sugar and protein found in milk.
D. 1 tsp sugar: This is not the best option. While sugar can raise blood glucose, it is a fast-acting form of carbohydrate that may not sustain the client's blood glucose for a longer period. A more balanced option, such as milk, would provide both rapid and sustained glucose elevation.
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