A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." Which of the following actions should the nurse take first?

Order a lunch tray for the client.

Offer the client apple juice.

Auscultate the client's abdomen.

Elevate the client's head of bed.

Answer and Explanation

The Correct Answer is C

A. Order a lunch tray for the client. Before advancing the diet, it is important to assess the client's readiness, particularly bowel sounds.
B. Offer the client apple juice. Providing liquids is appropriate only after assessing the client's gastrointestinal function.
C. Auscultate the client's abdomen: This assessment checks for the return of bowel sounds and gastrointestinal function, indicating whether the client can tolerate clear liquids.
D. Elevate the client's head of bed. While positioning is important, the primary first step is to assess the client's gastrointestinal status

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Correct Answer is B

Explanation

A. "I should choose 1 ounce of almonds when I am hungry midday." While almonds do contain fiber, they are not the highest-fiber option compared to bran cereal.
B. "My breakfast choice is 1⁄2 cup of bran cereal." Bran cereal is an excellent source of dietary fiber and is highly recommended for managing constipation.
C. "I will select a 1⁄2 cup of sweet potatoes for my starch." Sweet potatoes contain fiber, but they are not as high in fiber as bran cereal.
D. "One medium apple would be a good snack option." Apples are a good source of fiber, but bran cereal provides a higher fiber content per serving.

A. Keep the collection container at room temperature. B. At the beginning of the collection time, urinate and then discard the urine C. At the end of the collection time, urinate and save the urine in a separate container. D. Save each urine collection in a separate container.

Correct Answer is B

Explanation

A. Keep the collection container at room temperature. The collection container should be kept refrigerated or on ice to prevent bacterial growth and preserve the sample.
B. At the beginning of the collection time, urinate and then discard the urine. This is the correct method to ensure the 24-hour collection period starts with an empty bladder.
C. At the end of the collection time, urinate and save the urine in a separate container. The final urine at the end of the collection period should be added to the collection container, not saved separately.
D. Save each urine collection in a separate container: All urine collected over the 24-hour period should be saved in the same container to provide an accurate total volume for analysis.

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A nurse is caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about a high-fiber diet with a client who has constipation. Which of the following statements indicates the client understands the best choice for a high-fiber diet?

Correct Answer is B

Explanation

A nurse in a provider's office is reinforcing teaching with a client who is to collect a 24-hr urine specimen. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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