A patient who is obese is exploring bariatric surgery options and presented to a bariatric clinic for preliminary investigation. The nurse interviews the patient, analyzing and documenting the data
Which of the following nursing diagnoses may be a contraindication for bariatric surgery?
A) Disturbed Body Image Related to Obesity
B) Deficient Knowledge Related to Risks and Expectations of Surgery
C) Anxiety Related to Surgery
D) Chronic Low Self-Esteem Related to Obesity
Ans: B
Feedback:
It is expected that patients seeking bariatric surgery may have challenges with body image and self-esteem related to their obesity. Anxiety is also expected when facing surgery. However, if the patient's knowledge remains deficient regarding the risks and realistic expectations for surgery, this may show that the patient is not an appropriate surgical candidate.
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A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis
What factors have contributed most significantly to this trend? A) The emergence of managed care and the large number of Americans who lack health insurance B) The nursing shortage and decreasing numbers of health care providers who are choosing surgical specialties C) Advances in anesthesia and in the technology surrounding surgical techniques D) Pressure from health care consumers to avoid hospital stays and the decreasing incidence of acute illnesses
A patient asks if rectal suppositories can be used to assist with constipation problems with his colostomy. What should the nurse clarify regarding suppositories?
a. They can be used in double-barreled co-lostomies. b. They can be used in a stoma. c. They should not ever be used in a co-lostomy. d. They will not penetrate well enough to relieve constipation.
When instructing a client how to perform fetal movement counting, what directions should the nurse include?
a. Record start time. Count until four move-ments are palpated, and record stop time. b. Count fetal movements anytime during the day. c. Notify the physician if less than three fetal movements occur within 1 hour. d. Fetal movements are best felt before meal-time.
A patient diagnosed with depression tells a nurse, "If I hadn't been admitted, I would have carried out my plan and everyone would have been better off without me.". The nurse responds:
a. "It's frustrating when plans are interrupted.". b. "Things can still turn out all right for you while you're here.". c. "What specifically did you plan to do before you were admitted?" d. "I know you're feeling bad now but if you talk, things will be better.".