K.T. is a 38-year-old female with a BMI of 39 kg/m2 who needs surgical

reduction of a hiatal hernia. She is asking about the recovery process and says that she has read about something called the obesity paradox. She wants to know what that means with respect to her healing. The AGACNP explains that the paradox refers to the fact that:

A. Obesity correlates with poor outcomes for some surgical procedures but not others.

B. There is an inverse relationship between weight and surgical outcomes.

C. Underweight patients have more surgical complications than obese patients.

D. Planned weight loss preoperatively is indicated only when the BMI is > 40 kg/m2.

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