A client is undergoing bariatric surgery in the morning. The nurse explains the procedure to the client stating that the surgeon will design a smaller stomach to form a gastric pouch, and the pouch will then be connected directly to the jejunum (
bypassing the rest of the stomach and the duodenum). The nurse is preparing the client for what type of bariatric surgery? A) Laparoscopic gastric band
B) Roux-en-Y gastric bypass
C) Vertical sleeve gastrectomy
D) Biliopancreatic diversion with duodenal switch
B
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In Roux-en-Y gastric bypass a smaller stomach is surgically designed to form a gastric pouch, which is connected directly to the jejunum (bypassing the rest of the stomach and the duodenum). With laparoscopic gastric band surgery, an adjustable, bracelet-like band is placed around the top of the stomach, which produces a smaller stomach. With vertical sleeve gastrectomy, one side of the stomach is removed leaving a much smaller banana-sized stomach. Biliopancreatic diversion with duodenal switch is similar to Roux-en-Y gastric bypass but is more complex. A large portion of the stomach is removed; the small intestine and bile and digestive juices are diverted.
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A nurse cares for a client who has a genetic mutation that increases the risk for colon cancer. The client states that he does not want any family to know about this result. How should the nurse respond?
a. "It is required by law that you inform your siblings and children about this result so that they also can be tested and monitored for colon cancer." b. "It is not necessary to tell your siblings because they are adults, but you should tell your children so that they can be tested before they decide to have children of their own." c. "It is not required that you tell anyone about this result. However, your siblings and children may also be at risk for colon cancer and this information might help them." d. "It is your decision to determine with whom, if anyone, you discuss this test result. However, you may be held liable if you withhold this information and a family member gets colon cancer."
A nurse identifies the nursing diagnosis of Ineffective Sexuality Patterns based on which of the following?
A) The sexual problem is causing dissatisfaction for the client. B) The client has experienced a change in sexual functioning. C) The client is feeling inadequacy related to the sexual problem. D) The client believes that sexual activity is unrewarding.
Which of the following statements is suggestive of the stigmatization of mental illness?
A) "We're sure not putting enough money into public programs for people who are mentally ill." B) "It's too bad that there aren't better medications to treat mental illness." C) "I feel bad for the mentally ill, but I wish we didn't have to see them panhandling on every single corner." D) "I think that we should look at people who are mentally ill much like we see people who are physically ill."
A cancer survivor patient has anxiety and depression. Which therapies should the nurse include in the plan of care? (Select all that apply.)
a. Keep information to a minimum with health care providers. b. Teach the use of problem-oriented coping processes. c. Encourage the use of social support systems. d. Use cognitive behavioral interventions. e. Schedule exercise when convenient.