An obese client who has not responded well to conservative medical treatment has now developed diabetes and sleep apnea. A restrictive gastric bypass surgery is scheduled
In caring for the client in the initial postoperative period, which is the primary focus of nursing care? A) Imbalanced Nutrition
B) Impaired Skin Integrity
C) Impaired Gas Exchange
D) Ineffective Tissue Perfusion
C
Feedback:
Due to obesity and use of anesthesia, the lungs may not be able to expand fully. The weight of the fatty tissue on the chest in airways can impede flow of oxygen and/or cause pneumonia or apnea. The nurse must remain vigilant in the respiratory care of the postoperative client. Imbalanced Nutrition, Impaired Skin Integrity, and Ineffective Tissue Perfusion are all special problems associated with the surgical care of an obese client.
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