Ch 48 Case Study answer key must have! PDF

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Michelle Rozar Case Study Ch 48 Basic Adult Health

Case Study, Chapter 48, Assessment and Management of Patients With Obesity

1. Crystal Monte is a 32-year-old patient who is admitted to the medical-surgical unit after a laparoscopic Roux-en-Y gastric bypass for weight loss. Prior to choosing the surgery, she tried numerous diets and exercise programs without success and developed metabolic syndrome that led to insulin resistance. The patient’s parents both had complications related to morbid obesity and diabetes, motivating the patient to seek successful long-term weight loss and to decrease the risk factors for developing diabetes. The patient met with the multidisciplinary team before surgery, which consisted of a social worker, nurse counselor, dietician, psychologist, exercise therapist, and surgeon. The patient received intensive preoperative teaching and followed the diet she would follow after surgery for several weeks before the operation. (Learning Objectives 4 and 5) a. What nursing management should be provided for the patient postoperatively? Postoperatively the nursing management that should be the primary focus is management of pain prior to the onset. Anticipate pain once analgesics wear off and stay consistent with providing medications for pain. Monitoring the patients blood glucose levels to ensure proper management and keeping the levels controlled b. What discharge instructions should the nurse provide the patient? Follow up as prescribed by the provider, take medications as prescribed and educate the patient on signs and symptoms of infection. The nurse should educate the patient on what adequate diet to follow, resuming normal activities and ambulating suggestions per provider. The nurse should also make sure that the patient understands what discharge instruction and ask if the patient has any questions....