CBN CBN Postoperative Care & Complications 2

Question 1

Which postoperative complication is characterized by left shoulder (Kehr's sign) and upper abdominal pain in a bariatric patient?

Accepted Answer

Anastomotic leak with diaphragmatic irritation

Answer

Pulmonary embolism

Answer

Marginal ulcer

Answer

Internal hernia

Question 2

A bariatric patient develops severe episodic cramping and watery diarrhea 15–30 minutes after eating. The nurse recognizes this as:

Accepted Answer

Early dumping syndrome

Answer

Late dumping syndrome

Answer

Anastomotic leak

Answer

Marginal ulcer

Question 3

The MOST important nursing intervention to prevent deep vein thrombosis (DVT) after bariatric surgery is:

Accepted Answer

Early ambulation beginning on postoperative day 1

Answer

Bed rest for 48 hours post-surgery

Answer

Restricting fluid intake to reduce venous pooling

Answer

Elevating the head of bed to 45 degrees

Question 4

A patient six months post-Roux-en-Y gastric bypass reports severe epigastric pain that worsens with eating. The nurse suspects:

Accepted Answer

Marginal ulcer

Answer

Dumping syndrome

Answer

Stomal stenosis

Answer

Internal hernia

Question 5

Which postoperative lab finding requires IMMEDIATE intervention in a bariatric patient in the first 24 hours?

Accepted Answer

Hemoglobin drop of 3 g/dL from baseline

Answer

Potassium of 3.3 mEq/L

Answer

Blood glucose of 140 mg/dL

Answer

White blood cell count of 11,000/μL

Question 6

Which position is RECOMMENDED for a bariatric patient post-surgery to reduce respiratory complications?

Accepted Answer

Reverse Trendelenburg (head elevated 30–45 degrees)

Answer

Flat supine

Answer

Trendelenburg (head down)

Answer

Left lateral decubitus only