A nurse is monitoring a client who is 36 hr postoperative following gastric banding. Which of the following findings should the nurse expect?
The client is voiding at least 250 mL/hr.
The client is maintaining bed rest.
The client is tolerating clear liquids.
The client is consuming 1,000 calories daily.
The Correct Answer is C
A. The client is voiding at least 250 mL/hr: Normal urine output for adults is approximately 30 mL/hr. Voiding 250 mL/hr is unusually high and may indicate overhydration or diuresis; this is not an expected postoperative finding.
B. The client is maintaining bed rest: Early ambulation is encouraged after gastric banding to prevent complications such as venous thromboembolism, pneumonia, and delayed bowel function. Prolonged bed rest is not an expected or recommended postoperative behavior.
C. The client is tolerating clear liquids: After gastric banding, clients are typically advanced to clear liquids initially, progressing slowly to full liquids and soft foods as tolerated. Tolerance of clear liquids at 36 hours postoperatively is an expected and appropriate finding.
D. The client is consuming 1,000 calories daily: Postoperative dietary intake is extremely limited immediately following gastric banding. Consuming 1,000 calories per day this early is not typical, as intake usually starts with small, frequent, clear-liquid servings.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Use an electric razor when shaving while taking this medication.": Warfarin increases the risk of bleeding due to its anticoagulant effects. Using an electric razor reduces the risk of cuts and subsequent bleeding, making this an important safety precaution.
B. "This medication can cause back pain.": Back pain is not a common or expected side effect of warfarin. While bleeding complications could theoretically cause pain, routine back pain is not an anticipated effect and should be evaluated separately.
C. "Avoid taking this medication with milk products.": Warfarin’s absorption is not significantly affected by milk products. The main dietary consideration is consistent intake of vitamin K–rich foods, not dairy.
D. "Take the last dose of the day 1 hour before bedtime.": Warfarin timing is flexible and does not need to be taken specifically before bedtime. Consistency in the daily dosing time is important, but the exact hour is not critical.
Correct Answer is B
Explanation
A. Apply splints to the child's extremities during the day: Splints are typically used at night or as prescribed to prevent contractures and support joints, not during active daytime periods. Daytime use may restrict movement unnecessarily.
B. Have the child take a tub bath each morning: A warm bath helps relieve morning stiffness and joint pain associated with juvenile idiopathic arthritis. The heat promotes muscle relaxation and increased joint mobility, making it easier for the child to engage in daily activities.
C. Encourage the child to take naps during the day: While rest is important, excessive daytime sleep is not a primary intervention for managing joint stiffness or pain. Short rest periods are preferred instead of prolonged naps.
D. Keep the child on bedrest as long as pain persists: Prolonged bedrest can worsen joint stiffness and muscle atrophy. Encouraging gentle movement and activity is important to maintain joint function while managing pain.
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