A morbidly obese client is admitted to a community hospital that ...

[erika]

A morbidly obese client is admitted to a community hospital that does not typically care for bariatric-sized clients. What action by the nurse is most appropriate?
 
  a. Assess the client's readiness to make lifestyle changes.
  b. Ensure adequate staff when moving the client.
  c. Leave siderails down to prevent pressure ulcers.
  d. Reinforce the need to be sensitive to the client.

Question 2

A client just returned to the surgical unit after a gastric bypass. What action by the nurse is the priority?
 
  a. Assess the client's pain.
  b. Check the surgical incision.
  c. Ensure an adequate airway.
  d. Program the morphine pump.

[mjenn52]

Answer to Question 1

ANS: B
Many hospitals that see bariatric-sized clients have appropriate equipment for this population. A hospital that does not typically see these clients is less likely to have appropriate equipment, putting staff and client safety at risk. The nurse ensures enough staffing is available to help with all aspects of mobility. It may or may not be appropriate to assess the client's willingness to make lifestyle changes. Leaving the siderails down may present a safety hazard. The staff should be sensitive to this client's situation, but safety takes priority.

Answer to Question 2

ANS: C
All actions are appropriate care measures for this client; however, airway is always the priority. Bariatric clients tend to have short, thick necks that complicate airway management.

[erika]

Excellent

[epscape]

Great answer, keep it coming