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 tolerating clear liquids.
The client is voiding at least 250 m L/hr.
The client is maintaining bed rest
The client is consuming 1000 calories daily.
The Correct Answer is A
A. The client is tolerating clear liquids: Following gastric banding surgery, clients typically begin with clear liquids and gradually progress to more solid foods. Tolerating clear liquids 36 hours post-op is expected and indicates appropriate recovery.
B. The client is voiding at least 250 mL/hr: A urine output of 250 mL/hr is abnormally high and could suggest overhydration or other issues. Normal expected output is around 30–50 mL/hr postoperatively.
C. The client is maintaining bed rest: Prolonged bed rest increases the risk of complications like deep vein thrombosis. Clients are generally encouraged to ambulate early unless contraindicated.
D. The client is consuming 1000 calories daily: At 36 hours post-op, the client is not expected to consume high-calorie meals. Intake is usually limited to small amounts of clear liquids to prevent nausea and stress on the surgical site.
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Related Questions
Correct Answer is A
Explanation
A. Place locks at the tops of exterior doors: Clients with Alzheimer’s disease are at high risk for wandering. Installing locks out of the client’s line of sight, such as at the tops of doors, enhances safety by reducing the chance of unsupervised exit.
B. Wear clothing with zippers instead of buttons: While simplifying clothing is helpful, Velcro or elastic waistbands are typically easier for clients with cognitive decline than zippers, which can still be difficult to manage.
C. Encourage physical activity prior to bedtime: Physical activity should be scheduled earlier in the day. Stimulating activity near bedtime may worsen sleep disturbances or contribute to sundowning in clients with Alzheimer’s disease.
D. Replace the carpet with hardwood floors: Removing carpet can increase the risk of slipping and falling. Soft flooring like carpet may actually provide better traction and cushion in the event of a fall.
Correct Answer is A
Explanation
A. Sensation of skin warmth: A warm sensation is common during cardiac catheterization due to the injection of contrast dye. This feeling is typically brief and harmless, and clients should be reassured that it is an expected part of the procedure.
B. Numbness and tingling of the extremities: These symptoms may indicate compromised circulation or nerve involvement and are not expected during the procedure. If they occur, they require immediate assessment and intervention.
C. Increased salivation: Increased salivation is not associated with cardiac catheterization. It could suggest a reaction to medication or another unrelated issue, but it is not a normal response during this procedure.
D. Headache: Headaches are not expected during cardiac catheterization. If a client develops a headache, it could be related to contrast dye sensitivity, blood pressure changes, or anxiety, and would require further evaluation.
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