A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?

Apple juice

Cream of rice cereal

Vanilla yogurt

Scrambled eggs

Answer and Explanation

The Correct Answer is D

A. Apple juice: Apple juice is appropriate for a full liquid diet.
B. Cream of rice cereal: Cream of rice cereal is suitable for a full liquid diet as it can be made to a thin consistency.
C. Vanilla yogurt: Vanilla yogurt is allowed on a full liquid diet.
D. Scrambled eggs: Scrambled eggs are not considered part of a full liquid diet as they are a solid food.

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Correct Answer is B

Explanation

A. "You can expect fecal output within 24 hours." Fecal output usually occurs within 2-4 days after surgery, not within 24 hours.
B. "You may experience a small amount of bleeding around the stoma." A small amount of bleeding around the stoma is normal, especially right after surgery.
C. "You can expect the stoma to be purplish in color for the first week." A healthy stoma should be pink to red. A purplish color could indicate poor blood supply and should be reported.
D. "You will need to increase your dietary intake of raw vegetables." Raw vegetables can cause gas and obstruction; clients are usually advised to avoid them initially.

A. Decreased calcium level B. Decreased potassium level C. Elevated magnesium level D. Elevated sodium level

Correct Answer is B

Explanation

A. Decreased calcium level: NG tube drainage primarily affects sodium, potassium, and chloride levels rather than calcium.
B. Decreased potassium level: Large volumes of gastric drainage can result in significant potassium loss, leading to hypokalemia.
C. Elevated magnesium level: NG tube drainage does not typically cause elevated magnesium levels.
D. Elevated sodium level: NG tube drainage is more likely to cause decreased sodium levels due to fluid loss and electrolyte imbalance.

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A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new colostomy. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative and has an NG tube that has drained 2,500 mL in the past 6 hr. The nurse should monitor the client for which of the following electrolyte imbalances?

Correct Answer is B

Explanation

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

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