Care of Bariatric Patients

10. Which of the following contribute to an increased risk of deep vein thrombosis in obese patients? A. Anesthesia-induced paralysis B. Hypercoagulability C. Increased intra-abdominal pressure D. Pneumoperitoneum for laparoscopy E. All of the above

. All of the above

12. Which of the following is an important consideration for the perioperative care of bariatric patients? A. Bariatric patients are at increased risk of foreign body retention B. Manipulation of skin folds can dislodge material and contaminate the field and should therefore be avoided C. Single-step skin antisepsis products should not be used for bariatric patients D. Warming blankets should be avoided because bariatric patients are prone to overheating

A. Bariatric patients are at increased risk of foreign body retention

8. Which of the following is true about positioning a patient who is obese? A. The patient may experience compression of the inferior vena cava B. The patient's adipose tissue usually provides adequate cushioning for pressure points C. The patient's weight usually prevents movement during procedures D. Using more than one safety strap puts the patient at risk for nerve compression injuries

A. The patient may experience compression of the inferior vena cava

1. How is body mass index (BMI) calculated? A. Weight in kg/(height in m)2 B. Weight in kg/height in cm C. Weight in kg/height in m D. Weight in lb/(height in inches)2

A. Weight in kg/(height in m)2

11. Which of the following can cause nerve damage in bariatric patients? A. Compression stockings that are too small B. Placing arms at more than a 90-degree angle C. Tight safety straps D. Twisted gowns E. All of the above

All of the above

6. Which of the following facilitate the dignified treatment of bariatric patients? A. Assure the patient that the facility is fully stocked with extra-large equipment B. Ensure that discussions related to obtaining extra-large equipment for the patient do not take place where they can be overheard C. Provide information on weight-loss programs D. Send the patient to be weighed outside of the preoperative area to ensure privacy E. Use two or more gowns to ensure that the patient is completely covered

B. Ensure that discussions related to obtaining extra-large equipment for the patient do not take place where they can be overheard

14. Which of the following are accurate considerations for renovations and new construction for bariatric patients? A. Toilets should be wall-mounted B. Ceiling lifts are rarely worth the expense C. Floors designed for heavy loads may need to be installed D. A and C only

C. Floors designed for heavy loads may need to be installed

2. A BMI of 34 would place a patient into which of the following categories? A. Morbidly obese B. Normal C. Obese D. Underweight

C. Obese underweight = <18.5 Normal = 18.5-24.9 Overweight = 25-29.9 Obese = >30 Morbid obese = > 40

13. Which of the following is NOT true about the postoperative care of bariatric patients? A. Head elevation may be required to facilitate adequate breathing B. Patients should be encouraged to ambulate C. Patients should be required to transfer themselves to avoid injury to team members D. Patients with limited mobility are at risk for developing pressure sores

C. Patients should be required to transfer themselves to avoid injury to team members

7. When assisting an anesthesia professional in securing an airway, an important consideration to remember is that: A. Cricoid pressure should actually be applied to the thyroid cartilage B. The endotracheal tubes and other equipment on the anesthesia cart should not be touched C. The bag on the anesthesia circuit should be squeezed slowly D. The patient's head should always be held immobile E. When applying cricoid pressure, you should press down as hard as you can

C. The bag on the anesthesia circuit should be squeezed slowly

4. How long should the bladder of a blood pressure cuff be relative to a patient's arm? A. 40% of the patient's arm circumference B. 60% of the patient's arm circumference C. 70% of the patient's arm circumference D. 80% of the patient's arm circumference

D. 80% of the patient's arm circumference

3. Which of the following is NOT commonly observed in bariatric patients? A. Atherosclerosis B. Hyperlipidemia C. Hypertension D. Hyperventilation of lungs and alveoli

D. Hyperventilation of lungs and alveoli

5. Which of the following is considered a positive response to a question that is included on the STOPBang questionnaire? A. The patient is a woman B. The patient's age is over 40 years C. The patient's BMI is over 30 D. The patient's hypertension is under control with medication E. The patient's shirt collar size is 15 inches

D. The patient's hypertension is under control with medication

15. When assessing outcomes for bariatric protocols, which of the following elements should be evaluated? A. Changes in injury rates among team members B. Levels of patient comfort C. Levels of patient satisfaction D. Unforeseen events such as equipment failure E. All of the above

E. All of the above

9. Which of the following is NOT true about the lithotomy position? A. Both legs should be positioned at the same time B. Landmarks masked by fat make assessment of safe amounts of flexion difficult C. More than one team member may be required to move each leg D. Repositioning the patient should be considered after 4 hours E. The legs should be abducted as much as possible to facilitate surgical access

E. The legs should be abducted as much as possible to facilitate surgical access