Risk Management & Mitigation Flashcards
7 cards from real CBN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Risk Management & Mitigation flashcards as text
Which element is essential for valid informed consent specific to bariatric surgery risk disclosure?
Answer: Discussion of procedure-specific risks, alternatives including nonsurgical options, and the need for lifelong follow-up
Valid consent requires disclosure of procedure-specific risks, alternatives, and lifelong follow-up expectations without outcome guarantees.
A patient calls the bariatric clinic 6 months post-bypass reporting cramping, diarrhea, and dizziness 20 minutes after meals. Which risk-reduction teaching is most appropriate?
Answer: Eat small, low-simple-sugar meals and separate liquids from solids
Early dumping syndrome is prevented by small low-sugar meals and separating fluids from solids by about 30 minutes.
Which failure mode is a Failure Mode and Effects Analysis (FMEA) designed to address in a bariatric program?
Answer: Prospectively identifying process weaknesses before an adverse event happens
FMEA is a proactive tool that identifies and prioritizes potential process failures before they cause harm.
A patient with a history of gastric banding presents with sudden total intolerance to solids and liquids plus regurgitation. What risk does this represent?
Answer: Band slippage or acute obstruction requiring urgent evaluation
Inability to tolerate even liquids suggests band slippage or obstruction, which can lead to gastric ischemia without prompt treatment.
Which pressure injury prevention measure requires modification specifically for patients with severe obesity?
Answer: Assessing deep within skin folds and using bariatric-specific support surfaces
Skin folds create hidden pressure and moisture zones, so fold inspection and bariatric-rated redistribution surfaces are required.
During preoperative screening, a patient admits to taking GLP-1 receptor agonists until yesterday. Why is this a perioperative risk concern?
Answer: Delayed gastric emptying increases aspiration risk during anesthesia induction
GLP-1 agonists slow gastric emptying, so retained gastric contents raise the risk of aspiration during anesthesia.
Which action best mitigates risk when a bariatric patient's home medications include NSAIDs after gastric bypass?
Answer: Collaborate with the provider to substitute alternatives, since NSAIDs increase marginal ulcer risk
NSAIDs significantly increase the risk of marginal ulceration at the gastrojejunal anastomosis and should generally be avoided after bypass.