CBC Post-Surgical Nutritional Care Questions and Answers

Question 1

A patient, 8 weeks post-sleeve gastrectomy, is in the soft diet phase.
They contact the clinic distressed about frequent vomiting after meals despite eating approved foods.
Which of the following eating behaviors should the counselor investigate FIRST as the most likely cause?

Accepted Answer

Eating too quickly and not chewing food thoroughly.

Answer

Consuming liquids with their meals.

Answer

Introducing a new, intolerable food.

Answer

Failing to meet daily protein goals.

Question 2

What is the primary rationale for instructing post-bariatric surgery patients to follow the 'protein first' rule at every meal?

Accepted Answer

To ensure adequate intake for tissue repair and to minimize muscle loss during rapid weight loss.

Answer

To provide a quick source of energy and prevent fatigue.

Answer

Because carbohydrates are poorly absorbed after surgery.

Answer

To stimulate the production of stomach acid for better digestion.

Question 3

Which of the following is a critical hydration guideline for all post-bariatric surgery patients to prevent discomfort and complications?

Accepted Answer

Separate fluid intake from meals by at least 30 minutes.

Answer

Drink at least 32 ounces of fluid daily, including caffeinated beverages.

Answer

Consume fluids exclusively during mealtimes to aid digestion.

Answer

Use a straw to make sipping fluids easier throughout the day.

Question 4

For the initial months following bariatric surgery, why is it strongly recommended that patients use chewable or liquid forms of vitamin and mineral supplements?

Accepted Answer

They are better absorbed and tolerated by the newly configured and sensitive digestive system.

Answer

Chewable and liquid forms contain higher concentrations of nutrients.

Answer

Whole pills can easily get stuck in the esophagus.

Answer

Pill forms are more likely to cause dumping syndrome.

Question 5

A client, 4 months post-gastric bypass, reports consistently struggling with intolerance to certain foods, specifically dry chicken breast and fresh bread. What is the most appropriate guidance a counselor can offer?

Accepted Answer

These are commonly difficult-to-tolerate foods; try moistening the chicken and avoid bread for now, reintroducing it much later.

Answer

These foods are permanently off-limits and should never be eaten again.

Answer

The patient is likely not chewing enough and should try again immediately.

Answer

This indicates a surgical complication that requires immediate medical attention.

Question 6

During the full liquid diet stage (approx. days 3-14 post-op), what are the two primary nutritional goals a patient should focus on achieving daily?

Accepted Answer

Meeting fluid goals to prevent dehydration and protein goals to promote healing.

Answer

Consuming 1,200 calories and 30 grams of fat.

Answer

Introducing high-fiber liquids and taking whole vitamin pills.

Answer

Drinking at least one cup of fruit juice and one cup of caffeinated tea.

A patient, 8 weeks post-sleeve gastrectomy, is in the soft diet phase.They contact the clinic distressed about frequent vomiting after meals despite eating approved foods.Which of the following eating behaviors should the counselor investigate FIRST as the most likely cause?

A patient, 8 weeks post-sleeve gastrectomy, is in the soft diet phase.
They contact the clinic distressed about frequent vomiting after meals despite eating approved foods.
Which of the following eating behaviors should the counselor investigate FIRST as the most likely cause?