Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Phone(Required)What is the goal of the 2-week preoperative diet?(Required) Reduce the size of my liver Prepare my mind and body for surgery Prepare me for my new lifestyle All of the above Within 4 hours of arrival to my hospital room, I am expected to:(Required) Pee Walk Start my breathing exercises All of the above What statement is False?(Required) My pain medication will be given to me on an as needed basis, which means I have to ask my nurse for the medication if and when I need it. My pain will always be completely taken away with pain medication. Walking is an important part of the recovery process and can actually help improve my pain. Pain is treated with a multimodal approach which means that a combination of medications and interventions are used before, during and after surgery to help control my pain. How many ounces are in a medicine cup?(Required) 1 ounce 2 ounces 3 ounces 4 ounces What should you avoid in the immediate postoperative diet?(Required) Drinking carbonated beverages Using a straw Drinking caffeine All of the above Which of the following is NOT a common cause of postoperative nausea?(Required) Surgery itself Pain medications Taking small sips Drinking too fast How many times per hour should you do the breathing exercises with the incentive spirometer?(Required) 2 5 10 100 Coughing, deep breathing, and walking will help prevent pneumonia after surgery.(Required) True False Discharge criteria include all of the following EXCEPT:(Required) Pain that is adequately controlled Nausea that is adequately controlled Tolerating 3-4 ounces of stage 1 foods per hour Medical conditions are stable Vomiting after drinking How many ounces per hour are you recommended to consume at home to meet your 24-hour fluid goal of 64 ounces?(Required) 4-6 ounces 2-3 ounces 1-2 ounces None of the above Which of the following is a sign of dehydration?(Required) Increasing weakness Not peeing as much Headaches All of the above Frequent walking at home is important to prevent blood clots.(Required) True False It is important to monitor your surgical incisions after surgery. Which of the following is a sign or symptom of a wound infection?(Required) Increased pain Pus Fever All of the above Which statement is FALSE?(Required) My bowel habits may change after surgery. Some premade protein drinks may contain an additive that could make me constipated. I do NOT need to contact my surgeon’s office if over-the-counter medications like Colace do not alleviate my constipation. Drinking enough fluid and getting enough exercise can help prevent constipation. A reason I may become nauseated at home is because I am:(Required) Eating too fast Not chewing food well enough Eating too much at one time Advancing diet too quickly All of the above I will need to have periodic follow up with my bariatric surgeon because my health could change.(Required) True False I attest that I have viewed the Patient education for bariatric surgery(Required) Yes No
