Roux-en-Y gastric bypass for morbid obesity - Home Study Program

AORN Journal,  Oct, 2002  by Cynthia J. Barrow

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Examination

ROUX-EN-Y GASTRIC BYPASS FOR MORBID OBESITY

1. Body mass index (BMI) is based on a person's
   height, weight, and gender.

   a. true
   b. false

2. The National Institutes of Health categorizes
   patients as being morbidly obese if their BMI is
   greater than -- or greater than -- in the
   presence of comorbidities.

   a. 30 / 25
   b. 35 / 30
   c. 40 / 35
   d. 45 / 40

3. Absolute contraindications to bariatric surgery
   are active substance abuse and

   a. chronological age.
   b. desire to become pregnant.
   c. previous abdominal surgery.
   d. psychiatric personality disorders.

4. -- procedures promote weight loss
   by restricting intake via a small stomach capacity
   and delayed emptying, which causes a sense of
   fullness.

   a. Debulking
   b. Reconstructive
   c. Malabsorption
   d. Restrictive

5. Complications of the Roux-en-Y procedure
   include all of the following except

   a. inguinal hernia.
   b. stretched stomach outlet.
   c. gallstones.
   d. breakdown of the staple line.

6. Preserving and protecting the patient's autonomy,
   dignity, and human rights is an intervention for
   which of the following nursing diagnoses.

   a. risk of imbalanced nutrition less than body
      requirements
   b. risk for low self-esteem
   c. risk of fluid, electrolyte, and acid base imbalances
      related to stress of surgery
   d. risk for injury due to transferring and positioning

7. A red rubber catheter is placed behind and encircling
   the stomach to

   a. mobilize the distal esophagus.
   b. tag the proximal end for later identification.
   c. serve as a guide for stapler placement around
      the stomach.
   d. identify the defect in the mesentery.

8. Saline containing methylene blue dye is injected
   through the nasogastric tube to mark the anastomosis
   sites.

   a. true
   b. false

9. -- syndrome is a result of food
   being advanced rapidly into the jejunum.

   a. Alimentary
   b. Chucking
   c. Dumping
   d. Gastrointestinal

10. Roux-en-Y gastric bypass places the patient at
   risk for all of the following nutritional deficiencies
   except deficiencies of

   a. vitamin C.
   b. iron, calcium, magnesium, and zinc.
   c. vitamin B 12.
   d. gastric acidity.

Cynthia J. Barrow, RN, MSN, CNOR, is a RN first assistant and the OR clinical manager at Doylestown Hospital, Doylestown, PA.

COPYRIGHT 2002 Association of Operating Room Nurses, Inc.
COPYRIGHT 2002 Gale Group