CBC Post-Surgical Patient Care 2

Question 1

A patient 3 weeks after Roux-en-Y gastric bypass reports dizziness, sweating, and rapid heartbeat 30 minutes after eating a dessert. What is the most likely cause?

Accepted Answer

Early dumping syndrome

Answer

Anastomotic leak

Answer

Vitamin B12 deficiency

Answer

Surgical site infection

Question 2

During which post-operative dietary phase should a bariatric patient typically begin eating soft, moist protein foods like eggs and flaked fish?

Accepted Answer

Stage 3, usually weeks 3-4 after surgery

Answer

Stage 1, the first 48 hours

Answer

Stage 2, days 3-7

Answer

Only after 6 months

Question 3

What is the primary reason bariatric patients are instructed not to drink fluids with meals?

Accepted Answer

Fluids can flush food through the pouch, reducing satiety and increasing intake

Answer

Fluids dilute stomach acid needed for digestion

Answer

It prevents constipation

Answer

It reduces the risk of gallstones

Question 4

A counselor notices a post-surgical patient consuming ice cream and milkshakes frequently because they 'go down easy.' This behavior is best described as:

Accepted Answer

Soft calorie syndrome, a maladaptive eating pattern that undermines weight loss

Answer

Normal dietary adaptation

Answer

A sign of dumping syndrome

Answer

Protein-first compliance

Question 5

Which daily protein intake is generally recommended for patients after bariatric surgery to preserve lean body mass?

Accepted Answer

60-80 grams per day

Answer

20-30 grams per day

Answer

150-200 grams per day

Answer

No specific target is needed

Question 6

A patient 10 days post-op reports a fever of 101.5°F, increasing abdominal pain, and a heart rate above 120 bpm. The counselor's best action is to:

Accepted Answer

Advise the patient to contact their surgical team or seek emergency care immediately

Answer

Suggest increasing fluid intake and resting

Answer

Schedule a counseling session for the following week

Answer

Recommend an over-the-counter pain reliever

Question 7

Why are chewable or liquid multivitamins typically recommended during the early post-operative period?

Accepted Answer

Large solid pills may be poorly tolerated and absorbed by the altered digestive tract

Answer

Chewables contain higher vitamin doses

Answer

Solid pills interact with pain medication

Answer

Liquids prevent dumping syndrome