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 3 weeks after Roux-en-Y gastric bypass reports dizziness, sweating, and rapid heartbeat 30 minutes after eating a sugary dessert. What is the most likely cause?
Answer: Early dumping syndrome
Early dumping syndrome occurs 15-30 minutes after eating high-sugar foods due to rapid gastric emptying into the small intestine.
How should a counselor advise a post-bariatric patient regarding fluid intake during meals?
Answer: Avoid drinking liquids 30 minutes before and after meals
Separating fluids from meals prevents overfilling the small pouch, reduces discomfort, and helps patients eat adequate protein.
Which protein intake goal is generally recommended for patients in the months following bariatric surgery?
Answer: 60-80 grams per day
Most guidelines recommend at least 60-80 grams of protein daily to preserve lean muscle mass during rapid weight loss.
A patient 6 months post-surgery has stopped attending support groups and reports feeling 'like the surgery should do all the work.' What is the counselor's best response?
Answer: Explore ambivalence and re-engage the patient in behavioral change strategies
Surgery is a tool, and long-term success depends on sustained behavioral change, which the counselor should help the patient recommit to.
Which vitamin deficiency is most associated with neurological symptoms such as numbness and tingling after gastric bypass?
Answer: Vitamin B12
B12 absorption requires intrinsic factor and stomach acid, both reduced after bypass, and deficiency causes neuropathy.
When should a post-operative bariatric patient typically progress from full liquids to pureed foods?
Answer: Around 2-3 weeks after surgery, per the surgical team's protocol
Most programs advance patients from liquids to pureed foods at roughly 2-3 weeks, following the surgeon's staged diet protocol.
A patient reports persistent vomiting after progressing to solid foods. What should the counselor recommend first?
Answer: Contact the surgical team promptly to rule out stricture or other complications
Persistent vomiting may indicate a stricture or obstruction and requires timely medical evaluation.