Post-Operative Patient Management Flashcards
7 cards from real CBC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Post-Operative Patient Management flashcards as text
A patient two years post-sleeve gastrectomy scores high on a depression screening during a follow-up visit. What is the counselor's most appropriate action?
Answer: Refer to a qualified mental health provider while continuing supportive counseling
Depression screening positives require referral to licensed mental health treatment, which is outside a bariatric counselor's prescribing scope.
Which eating behavior most directly undermines restriction after sleeve gastrectomy?
Answer: Consuming high-calorie liquids like milkshakes and sweetened coffee drinks
Calorie-dense liquids pass quickly through the sleeve without triggering fullness, bypassing the restrictive mechanism.
A patient reports taking calcium carbonate supplements after gastric bypass. What adjustment should the care team typically recommend?
Answer: Switch to calcium citrate, which absorbs better without stomach acid
Calcium citrate does not require an acidic environment for absorption, making it preferred after bypass.
During a 12-month follow-up, a patient describes hiding food and eating in secret when stressed. Which condition should the counselor screen for?
Answer: Recurrence of binge eating or loss-of-control eating
Secretive, stress-driven eating suggests loss-of-control eating patterns that predict weight regain and warrant formal screening.
Why is tobacco cessation strongly emphasized both before and after bariatric surgery?
Answer: Smoking increases risks of marginal ulcers, poor healing, and anastomotic complications
Smoking impairs healing and significantly raises the risk of marginal ulcers and anastomotic complications after surgery.
A patient six weeks post-op asks when they can resume vigorous exercise like weightlifting. What is the general guidance?
Answer: Heavy lifting is typically restricted for about 4-6 weeks, then resumed per surgeon clearance
Most programs restrict heavy lifting for roughly 4-6 weeks to protect healing incisions, then progress activity with surgical clearance.
Which finding in a post-operative patient warrants emergency evaluation rather than routine counseling follow-up?
Answer: Sustained tachycardia, fever, and worsening abdominal pain
Tachycardia with fever and escalating abdominal pain are classic warning signs of an anastomotic leak requiring emergency care.