Ameritech- COTAC I Exam 5 Questions and Answers Already Passed
What education should be provided to obese patients? - Answers Discuss lifestyle changes (diet
modification, exercise [start low and slow]
How does obesity affect other body systems? - Answers Can cause HTN, HF, Hypercholesteremia, back
pain, joint pain, limited mobility, Diabetes, sleep apnea, respiratory complications
What are 3 meds that can be used for Obesity? - Answers - Orlistat
- Lorcaserin
- phentermine
What education should be know for Orlistat? - Answers Oily discharge (stool leakage) will occur if a
patient ingests fat.
What should you educate a patient on for any weight loss medication? - Answers This medication does
not replace the need for diet and exercise. Must be taken in addition to be successful.
What are some side effects of Phentermine? - Answers Anticholinergic side effects (dry mouth, irritation,
constipation - remember can't see, can't pee, can't shit)
How does Phentermine help aid in weight loss? - Answers It helps the body feel full (works on
neurological standpoint)
What must be done in conjunction with Phentermine? - Answers Diet, exercise, maintain fluids
What is a nursing intervention for the obese patient? - Answers Use specialized beds/chairs to help
evenly distribute weight to help prevent pressure sores
What must a RN keep in mind when administering ANY medication to an obese patient? - Answers Some
drugs are weight based so they may need a higher dose
How do you get the most accurate weight? - Answers Weigh them at the same time every day with
minimal clothing on using the same scale. Encourage them to stand on the scale vs using a bed weight
scale
What must you keep in mind with an obese patient's skin integrity? - Answers keep skin fold dry and
clean to help minimize the chance of a yeast infection
What are the 4 different kinds of weight loss surgery? - Answers -Gastric banding (restrictive)
-Gastric sleeve (restrictive)
- Roux-en-Y Gastric Bypass (restrictive & malabsorptive)
- Biliary Pancreatic Diversion with Duodenal Switch (restrictive & malabsorptive)
, How does Gastric Banding work? - Answers Lowers the volume the stomach can hold by placing a band
around the outside of the stomach. Only holds about 10-15 ml's of food/liquid at a time.
How does a Gastric Sleeve work? - Answers A physician removes part of the stomach (the part that
releases Ghrelin- aka hunger hormone). This will reduce the urge to eat.
What 2 Gastric weight loss surgeries require lifelong mineral supplementation? - Answers -Roux-en-Y
Gastric Bypass
-Biliary Pancreatic Diversion w/ Duodenal Switch.
How does a Roux-en-Y Gastric Bypass surgery work? - Answers This will decrease the volume of the
stomach by creating a new pouch that directly goes into the small intestine (duodenum/jejunum) to
avoid the stomach.
What complications may arise with Roux-en-Y Gastric bypass surgery and Biliary Pancreatic Diversion w/
Duodenal Switch? - Answers -Mineral Deficiencies
-Infection
-bleeding
-Anastomotic leak (contents from the reconnected body channel leak from the surgical site)
-Peritonitis
What are some s/s of Peritonitis? - Answers Fever, rigors, chills, vomiting, rigid/tender abdomen
What gastric bypass surgery is the most common? - Answers Roux-en-Y
Which gastric bypass produces the greatest weight loss results? - Answers Biliary Pancreatic Diversion
w/ Duodenal switch
How does a Biliary Pancreatic Diversion w/ duodenal switch work? - Answers (most invasive) A sleeve
gastrectomy is preformed first (removes 80% of stomach leaving a banana looking shape) and then
bypasses the majority of the intestine by connecting the end of the intestine to the duodenum.
What is the BMI requirement and highest risk for receiving a Biliary Pancreatic Diversion w/ duodenal
switch? - Answers BMI >40
High Risk for Infection
What are some post op care interventions for patient receiving weight loss surgery? - Answers -Use of
incentive spirometer
-Encourage early ambulation (lowers risk of clots, restarts peristalsis, and lung expansion [prevents
atelectasis])
What education should be provided to obese patients? - Answers Discuss lifestyle changes (diet
modification, exercise [start low and slow]
How does obesity affect other body systems? - Answers Can cause HTN, HF, Hypercholesteremia, back
pain, joint pain, limited mobility, Diabetes, sleep apnea, respiratory complications
What are 3 meds that can be used for Obesity? - Answers - Orlistat
- Lorcaserin
- phentermine
What education should be know for Orlistat? - Answers Oily discharge (stool leakage) will occur if a
patient ingests fat.
What should you educate a patient on for any weight loss medication? - Answers This medication does
not replace the need for diet and exercise. Must be taken in addition to be successful.
What are some side effects of Phentermine? - Answers Anticholinergic side effects (dry mouth, irritation,
constipation - remember can't see, can't pee, can't shit)
How does Phentermine help aid in weight loss? - Answers It helps the body feel full (works on
neurological standpoint)
What must be done in conjunction with Phentermine? - Answers Diet, exercise, maintain fluids
What is a nursing intervention for the obese patient? - Answers Use specialized beds/chairs to help
evenly distribute weight to help prevent pressure sores
What must a RN keep in mind when administering ANY medication to an obese patient? - Answers Some
drugs are weight based so they may need a higher dose
How do you get the most accurate weight? - Answers Weigh them at the same time every day with
minimal clothing on using the same scale. Encourage them to stand on the scale vs using a bed weight
scale
What must you keep in mind with an obese patient's skin integrity? - Answers keep skin fold dry and
clean to help minimize the chance of a yeast infection
What are the 4 different kinds of weight loss surgery? - Answers -Gastric banding (restrictive)
-Gastric sleeve (restrictive)
- Roux-en-Y Gastric Bypass (restrictive & malabsorptive)
- Biliary Pancreatic Diversion with Duodenal Switch (restrictive & malabsorptive)
, How does Gastric Banding work? - Answers Lowers the volume the stomach can hold by placing a band
around the outside of the stomach. Only holds about 10-15 ml's of food/liquid at a time.
How does a Gastric Sleeve work? - Answers A physician removes part of the stomach (the part that
releases Ghrelin- aka hunger hormone). This will reduce the urge to eat.
What 2 Gastric weight loss surgeries require lifelong mineral supplementation? - Answers -Roux-en-Y
Gastric Bypass
-Biliary Pancreatic Diversion w/ Duodenal Switch.
How does a Roux-en-Y Gastric Bypass surgery work? - Answers This will decrease the volume of the
stomach by creating a new pouch that directly goes into the small intestine (duodenum/jejunum) to
avoid the stomach.
What complications may arise with Roux-en-Y Gastric bypass surgery and Biliary Pancreatic Diversion w/
Duodenal Switch? - Answers -Mineral Deficiencies
-Infection
-bleeding
-Anastomotic leak (contents from the reconnected body channel leak from the surgical site)
-Peritonitis
What are some s/s of Peritonitis? - Answers Fever, rigors, chills, vomiting, rigid/tender abdomen
What gastric bypass surgery is the most common? - Answers Roux-en-Y
Which gastric bypass produces the greatest weight loss results? - Answers Biliary Pancreatic Diversion
w/ Duodenal switch
How does a Biliary Pancreatic Diversion w/ duodenal switch work? - Answers (most invasive) A sleeve
gastrectomy is preformed first (removes 80% of stomach leaving a banana looking shape) and then
bypasses the majority of the intestine by connecting the end of the intestine to the duodenum.
What is the BMI requirement and highest risk for receiving a Biliary Pancreatic Diversion w/ duodenal
switch? - Answers BMI >40
High Risk for Infection
What are some post op care interventions for patient receiving weight loss surgery? - Answers -Use of
incentive spirometer
-Encourage early ambulation (lowers risk of clots, restarts peristalsis, and lung expansion [prevents
atelectasis])
