CBN Risk Management & Mitigation 3

Question 1

A sleeve gastrectomy patient reports left shoulder pain, hiccups, and fever on postoperative day 3. Which complication should the nurse suspect first?

Accepted Answer

Staple-line leak with diaphragmatic irritation

Answer

Referred left shoulder pain with fever after sleeve gastrectomy suggests a staple-line leak irritating the diaphragm and requires urgent evaluation.

Question 2

Which staffing practice best mitigates safe-patient-handling injury risk on a bariatric surgical unit?

Accepted Answer

Implementing a lift team and mandatory mechanical lift use policies

Answer

Lift teams and mandatory mechanical lift policies reduce musculoskeletal injuries for staff and falls or skin injuries for patients.

Question 3

A patient 2 weeks after gastric bypass presents with confusion, ataxia, and nystagmus following persistent vomiting. Which preventable risk has likely materialized?

Accepted Answer

Wernicke encephalopathy from thiamine deficiency

Answer

Persistent vomiting after bariatric surgery can rapidly deplete thiamine, and the triad of confusion, ataxia, and nystagmus signals Wernicke encephalopathy.

Question 4

Which documentation practice most strengthens legal risk protection when a bariatric patient declines recommended follow-up care?

Accepted Answer

Documenting the specific education provided, the patient's stated reason for refusal, and notification of the provider

Answer

Objective documentation of education, the patient's informed refusal, and provider notification demonstrates the standard of care was met.

Question 5

What is the most appropriate mitigation when a preoperative bariatric patient screens positive for high-risk alcohol use?

Accepted Answer

Refer for evaluation and treatment before surgery, as alcohol use disorder risk increases after bypass

Answer

Preoperative referral is critical because gastric bypass alters alcohol metabolism and increases the risk of postoperative alcohol use disorder.

(CBN) Certified Bariatric Nurse Practice Test

(CBN) Certified Bariatric Nurse Practice Test

CBN Risk Management & Mitigation 3