Pre-Surgical Patient Assessment Flashcards
7 cards from real CBC practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 7 Pre-Surgical Patient Assessment flashcards as text
During assessment, a patient states they expect to lose 100% of their excess weight and never regain any. How should the counselor respond?
Answer: Address unrealistic expectations, since typical excess weight loss is roughly 50-70% depending on procedure
Counselors must correct unrealistic expectations because typical excess weight loss ranges from about 50-70% and some regain is common.
Which laboratory finding during pre-surgical workup most directly suggests the need for nutritional correction before surgery?
Answer: Low vitamin D and iron deficiency anemia
Preexisting deficiencies like low vitamin D or iron should be corrected preoperatively because malabsorptive procedures worsen them.
A patient scheduled for gastric bypass has poorly controlled type 2 diabetes with an HbA1c of 10.5%. What is the most appropriate pre-surgical step?
Answer: Work with the medical team to improve glycemic control before surgery
Poor glycemic control increases surgical complications, so optimizing HbA1c preoperatively is standard practice.
Which sleep-related condition should routinely be screened for during bariatric pre-surgical assessment?
Answer: Obstructive sleep apnea
Obstructive sleep apnea is highly prevalent in bariatric candidates and increases anesthesia risk, so screening tools like STOP-BANG are routine.
A patient discloses they take daily NSAIDs for chronic joint pain. Why does this matter before gastric bypass?
Answer: NSAIDs significantly raise the risk of marginal ulcers after bypass and alternatives should be planned
Chronic NSAID use is a major risk factor for marginal ulceration at the gastrojejunal anastomosis, so pain management alternatives must be arranged.
What is the primary reason for assessing a patient's social support system before bariatric surgery?
Answer: Strong support improves adherence to postoperative diet, follow-up, and lifestyle changes
Social support is a consistent predictor of postoperative adherence and long-term weight-loss success.
A female patient of childbearing age is being assessed for surgery. What counseling point is standard regarding pregnancy?
Answer: Pregnancy should be avoided for approximately 12-18 months after surgery during rapid weight loss
Rapid weight loss and nutritional instability in the first 12-18 months post-surgery pose fetal risks, so pregnancy should be deferred.