Pre-Surgical Patient Assessment 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 Pre-Surgical Patient Assessment flashcards as text
Which element is essential to informed consent during the pre-surgical counseling process?
Answer: Discussion of risks, benefits, alternatives, and the need for lifelong follow-up
Valid informed consent requires understanding of risks, benefits, alternatives, and lifelong commitments such as supplementation and follow-up.
A patient scores high on a food addiction scale and reports nightly grazing. What is the best counselor action before surgery?
Answer: Refer for behavioral intervention targeting the eating pattern before surgical clearance
Grazing and addictive eating patterns predict poorer surgical outcomes and should be addressed with behavioral treatment preoperatively.
Why is a psychosocial history of trauma or abuse relevant in bariatric pre-surgical assessment?
Answer: Unresolved trauma can affect eating behaviors and postoperative psychological adjustment
Trauma history is linked to disordered eating and postoperative emotional difficulties, so it informs support planning rather than disqualification.
Which medication class requires careful pre-surgical review because absorption may change dramatically after malabsorptive procedures?
Answer: Extended-release psychiatric medications
Extended-release oral medications may be poorly absorbed after bypass, often requiring conversion to immediate-release forms.
During assessment, a patient reveals they live alone, work night shifts, and have no transportation to follow-up visits. What does this represent?
Answer: Practical barriers to postoperative adherence that must be addressed in the care plan
Logistical barriers like transportation and scheduling threaten follow-up adherence and should be proactively problem-solved before surgery.
What is the purpose of a preoperative very-low-calorie or liver-shrinking diet often prescribed 1-2 weeks before surgery?
Answer: To reduce liver size and intra-abdominal fat, improving surgical access and safety
A short preoperative diet shrinks the liver and reduces visceral fat, making laparoscopic access safer and easier.
A candidate admits to current daily cannabis use. What is the most appropriate assessment approach?
Answer: Evaluate frequency, dependence, and program policy, since substance use can affect anesthesia and postoperative adherence
Substance use requires nonjudgmental evaluation of dependence and risks because it can affect anesthesia, appetite, and adherence, with policies varying by program.