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 A

Explanation

A. Tetany: A calcium level of 8 mg/dL is below the normal range (8.5-10.5 mg/dL) and can cause tetany, which includes muscle cramps, spasms, and positive signs like Chvostek and Trousseau signs.
B. Constipation: Constipation is more commonly associated with hypercalcemia, not hypocalcemia.
C. Negative Chvostek sign: A positive Chvostek sign is expected in hypocalcemia, indicating neuromuscular irritability.
D. Elevated blood pressure: Elevated blood pressure is not specifically associated with hypocalcemia.

A. Purplish colored stoma B. No stool noted in the collection bag C. Edematous stoma D. Slight bleeding of the stoma site

Correct Answer is A

Explanation

A. Purplish colored stoma: A purplish colored stoma indicates compromised blood flow and possible necrosis, which is an emergency and must be reported immediately.
B. No stool noted in the collection bag: It is normal for there to be no stool in the collection bag 12 hours postoperatively as bowel function may not yet have resumed.
C. Edematous stoma: Edema of the stoma is common in the immediate postoperative period and usually subsides with time.
D. Slight bleeding of the stoma site: Slight bleeding at the stoma site can be normal immediately after surgery due to the manipulation of tissues.

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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 collecting data from a client who has a calcium level of 8 mg/dL. Which of the following manifestations should the nurse expect?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

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