Risk Management & Mitigation Flashcards
7 cards from real CBN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Risk Management & Mitigation flashcards as text
A bariatric patient develops sudden severe abdominal pain, rigidity, and hypotension 5 days post-op. While notifying the surgeon, which nursing action takes priority?
Answer: Keep the patient NPO, establish IV access, and monitor vital signs closely
Suspected perforation or leak requires NPO status, IV access, and hemodynamic monitoring in preparation for emergent intervention.
Which finding in a long-term post-bypass patient signals failure of the micronutrient risk-mitigation plan?
Answer: New-onset paresthesia and macrocytic anemia from missed B12 supplementation
Paresthesia with macrocytic anemia indicates B12 deficiency, showing the supplementation and monitoring plan has lapsed.
What is the primary purpose of participating in a national bariatric outcomes registry such as MBSAQIP?
Answer: Benchmarking complication rates and driving data-informed quality and risk-reduction initiatives
Registry participation allows programs to benchmark outcomes against national data and target quality improvement to reduce risk.
A pregnant patient 18 months after gastric bypass reports intermittent severe abdominal pain. Which high-risk complication must be ruled out urgently?
Answer: Internal hernia causing bowel obstruction
Pregnancy after bypass raises the risk of internal hernia, which can cause bowel ischemia and is easily missed without urgent imaging or surgical evaluation.
Which action reflects a 'just culture' approach after a nurse self-reports a near-miss involving a mislabeled bariatric feeding order?
Answer: Thanking the reporter, analyzing the process failure, and correcting the labeling system
Just culture encourages reporting by focusing on fixing system flaws rather than punishing individuals for near-misses.
A post-op bariatric patient on patient-controlled analgesia has a respiratory rate of 7 and is difficult to arouse. After stopping the infusion, which medication should the nurse anticipate administering?
Answer: Naloxone
Opioid-induced respiratory depression, to which bariatric patients with sleep apnea are especially vulnerable, is reversed with naloxone.
Which discharge teaching point most directly mitigates readmission risk for dehydration after sleeve gastrectomy?
Answer: Drink 64 ounces or more of fluid daily by sipping continuously between meals
Continuous sipping to reach at least 64 ounces daily prevents dehydration, one of the most common causes of early readmission.