CBN CBN Postoperative Care & Complications

Question 1

Which complication is MOST common in the immediate postoperative period following Roux-en-Y gastric bypass?

Accepted Answer

Anastomotic leak

Answer

Deep vein thrombosis

Answer

Marginal ulcer

Answer

Dumping syndrome

Question 2

A post-bariatric patient presents with tachycardia (HR 120), fever, and abdominal pain on postoperative day 2. The nurse's PRIORITY action is:

Accepted Answer

Notify the surgeon immediately and prepare for emergent evaluation

Answer

Administer IV fluids and monitor closely

Answer

Obtain a urine culture

Answer

Reassure the patient these are expected postoperative findings

Question 3

Dumping syndrome after gastric bypass is BEST managed by:

Accepted Answer

Eating small, frequent meals low in simple carbohydrates and avoiding liquids with meals

Answer

Increasing total daily caloric intake

Answer

Eating larger, less frequent meals

Answer

Consuming high-sugar beverages to restore energy quickly

Question 4

Which vitamin deficiency is MOST critical to monitor after sleeve gastrectomy due to reduced acid secretion?

Accepted Answer

Vitamin B12

Answer

Vitamin C

Answer

Vitamin E

Answer

Vitamin K

Question 5

A bariatric nurse is monitoring a patient for stomal stenosis after gastric bypass. Which symptom is most indicative?

Accepted Answer

Progressive dysphagia and intolerance of solid foods progressing to liquids

Answer

Diarrhea after every meal

Answer

Severe right lower quadrant pain

Answer

Sudden onset chest pain

Question 6

Iron deficiency anemia after bariatric surgery is PRIMARILY caused by:

Accepted Answer

Reduced gastric acid reducing conversion of Fe3+ to absorbable Fe2+, combined with bypassing the duodenum

Answer

Increased red blood cell destruction

Answer

Reduced dietary iron intake alone

Answer

Vitamin C deficiency blocking iron absorption