The nurse is evaluating the histories of several candidates for bariatric surgery. Who is the best candidate for the surgery?

63-year-old female with alcohol addiction, congestive heart failure and a BMI of 30

17-year-old female with severe acne and a BMI of 20

31-year-old male with a history of schizophrenia and a BMI of 33

51-year-old male who has hypertension, gallstones and a BMI of 42

Answer and Explanation

The Correct Answer is D

D. This candidate has obesity-related comorbidities such as hypertension and gallstones, which may indicate a higher risk of complications from obesity. With a BMI of 42, this individual meets the criteria for bariatric surgery. Additionally, being older than 18 years old and having obesity-related comorbidities make this candidate a potentially suitable candidate for bariatric surgery.
A. Bariatric surgery may not be appropriate for individuals with severe alcohol addiction or unstable cardiovascular conditions like congestive heart failure. Additionally, with a BMI of 30, this candidate is considered overweight but may not meet the criteria for bariatric surgery.
B. Bariatric surgery is not typically recommended for adolescents with a BMI in the normal weight range (18.5 to 24.9), such as this candidate. Furthermore, severe acne alone would not be a sufficient indication for bariatric surgery.
C. Bariatric surgery candidates should be mentally stable and capable of understanding and adhering to the necessary pre- and postoperative guidelines.

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Correct Answer is B

Explanation

B. Losing 1 pound in one week is generally considered a safe and sustainable rate of weight loss for many individuals. It is recommended by health professionals as a realistic and achievable goal for healthy weight loss.
A. Losing 5 pounds in one week would be considered too rapid and potentially unhealthy weight loss. Rapid weight loss can lead to various health issues, including nutritional deficiencies, muscle loss, and a higher likelihood of regaining the weight later on
C. Losing 10 pounds in one month would also be considered too rapid and potentially unhealthy weight loss, especially if sustained over a longer period.
D. Losing 3 pounds in one week may be achievable for some individuals, but it is generally considered more rapid than the recommended rate of 1 pound per week.

A. Increased passage of gas and stool B. Enlarging abdominal girth C. Hyperactive bowel sounds D. Afebrile

Correct Answer is B

Explanation

B. Toxic megacolon is characterized by severe colonic dilation, leading to a significant increase in abdominal girth. As the colon becomes distended, it can cause visible abdominal swelling and bloating, which may be accompanied by tenderness upon palpation.
A. In the context of toxic megacolon, there may be a reduction or cessation of bowel movements due to colonic dilation and paralysis.
C. In toxic megacolon, bowel sounds may initially be hyperactive due to increased peristalsis as the colon attempts to overcome the obstruction. However, as the condition progresses, bowel sounds may diminish or become absent due to colonic dilation and paralysis.
D. While fever can be present in toxic megacolon due to the underlying inflammatory process, it is not universally seen in all cases.

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The nurse is evaluating the histories of several candidates for bariatric surgery. Who is the best candidate for the surgery?

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Naxlex Comprehensive Predictor Exams

The nurse evaluates that an overweight client understands the need for a healthy weight loss pattern by Indicating an intention to lose:

Correct Answer is B

Explanation

The nurse suspects that the client, hospitalized with severe ulcerative colitis, is experiencing the complication of toxic megacolon. Which assessment finding would support this suspicion?

Correct Answer is B

Explanation

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