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 8 months post-bypass says their spouse feels 'left behind' and mealtimes have become tense. How should the counselor respond?
Answer: Address relationship dynamics and consider involving the spouse or referring to couples counseling
Major weight loss commonly shifts relationship dynamics, and involving partners or referring to couples counseling supports long-term success.
What is the recommended approach when a patient plateaus in weight loss at month five despite good adherence?
Answer: Normalize plateaus, review habits, and reinforce non-scale victories while maintaining the plan
Plateaus are a normal part of post-surgical weight loss, and counselors should normalize them while reinforcing sustainable habits.
Which iron supplementation guidance is correct for a post-bypass patient?
Answer: Take iron separately from calcium, as calcium inhibits iron absorption
Calcium competes with iron for absorption, so the two supplements should be taken at least two hours apart.
A patient a year after surgery reports excess hanging skin causing rashes and embarrassment. What is the counselor's best guidance?
Answer: Discuss body image support and note that body contouring surgery is usually considered after weight stabilizes around 12-18 months
Body contouring is typically deferred until weight has been stable, and counselors should support body image concerns in the interim.
Which strategy best supports long-term adherence to post-bariatric eating guidelines?
Answer: Ongoing follow-up visits, support group participation, and self-monitoring such as food logging
Sustained follow-up, peer support, and self-monitoring are consistently linked to better long-term weight outcomes.
A post-operative patient begins misusing prescription opioids originally given for surgical pain. This pattern is often described as what phenomenon in bariatric populations?
Answer: Addiction transfer (cross-addiction)
Addiction transfer describes substituting food-related coping with substances or other compulsive behaviors after surgery.
During the transition to the maintenance phase, what should the counselor emphasize as the primary marker of success?
Answer: Sustained health improvements and behavior maintenance, not just the number on the scale
Long-term success is measured by comorbidity improvement and maintained behaviors rather than a single target weight.