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. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the gastric mucosa and exacerbate gastritis symptoms, including nausea and vomiting. Therefore, aspirin would be contraindicated in a client with acute gastritis, especially if they are experiencing nausea and vomiting.
A. Amoxicillin is an antibiotic commonly used to treat bacterial infections associated with gastritis or peptic ulcers. Therefore, amoxicillin would generally be an appropriate medication for treating gastritis if the underlying cause is bacterial infection.
C. Ranitidine helps alleviate symptoms such as heartburn and indigestion by reducing stomach acid production.
D. Pantoprazole is a proton pump inhibitor (PPI) that is commonly used to treat gastric acid-related disorders, including gastritis and gastroesophageal reflux disease (GERD).

A. take two pills each day for 5 days, and reserve the rest of the pills to take if the symptoms reappear. B. take the antibiotic for the full 7 days, even if symptoms improve in a few days C. increase the effectiveness of the drug by taking it with cranberry juice to acidify the urine D. return to the clinic in 3 days so that a urine culture can be done to evaluate the effectiveness of the drug.

Correct Answer is B

Explanation

B. It is essential to complete the full course of antibiotics as prescribed by the healthcare provider, even if symptoms improve before the course is finished. This ensures that all bacteria causing the infection are eradicated, reducing the risk of recurrence and development of antibiotic resistance.
A. Antibiotics should be taken exactly as prescribed and for the full duration of the treatment course. Incomplete or inconsistent use of antibiotics can lead to incomplete eradication of the infection, development of antibiotic resistance, and recurrence of the infection.
C. While cranberry juice is often recommended for urinary tract health due to its ability to prevent bacterial adherence to the bladder wall, it is not a substitute for antibiotics in treating urinary tract infections.
D. Typically, urine cultures are reserved for cases where the diagnosis is uncertain, or the infection is recurrent or complicated. In uncomplicated UTIs, empirical antibiotic treatment based on symptoms and clinical presentation is usually sufficient.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has acute gastritis due to food poisoning. The client is experiencing nausea and vomiting. The nurse would question which of the following medications, if ordered?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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