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 mL/hr.
The client is maintaining bed rest.
The client is consuming 1.000 calories daily.
The Correct Answer is A
Rationale:
A. The client is tolerating clear liquids: After gastric banding, clients typically start with clear liquids within the first 24–48 hours. Tolerating clear liquids at 36 hours post-op is an expected and desired outcome that indicates gastrointestinal recovery and readiness to progress the diet gradually.
B. The client is voiding at least 250 mL/hr: This urine output is abnormally high and could indicate diuresis or overhydration. The expected minimum urine output is around 30 mL/hr, so this value exceeds normal expectations and is not typical postoperatively.
C. The client is maintaining bed rest: Early ambulation is encouraged after bariatric procedures to prevent complications such as deep vein thrombosis or pulmonary embolism. Prolonged bed rest is not expected or recommended.
D. The client is consuming 1,000 calories daily: At 36 hours post-op, clients are still on a very restricted intake—usually clear liquids or small sips—and would not be consuming 1,000 calories. This intake would be excessive and inappropriate at this stage of recovery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Boiled eggs: While eggs contain some iron, they are not known to enhance the absorption of nonheme iron. In fact, certain components in eggs may inhibit iron absorption from plant-based sources.
B. Orange slices: Vitamin C (ascorbic acid) found in citrus fruits like oranges significantly enhances the absorption of nonheme iron by reducing it to a more absorbable form. This makes orange slices an ideal complement to iron-rich plant foods.
C. Cheddar cheese: Dairy products like cheese are low in iron and contain calcium, which can actually compete with iron for absorption in the intestines, reducing its bioavailability rather than enhancing it.
D. Mixed nuts: Although nuts contain some iron, they are also high in phytates, which can inhibit iron absorption. They do not actively enhance nonheme iron uptake and are not the best dietary pairing for this purpose.
Correct Answer is D
Explanation
Rationale:
A. Request a change in medication from the provider: Medication adjustments should be based on a full assessment of the child’s symptoms and patterns. Requesting a change prematurely may lead to ineffective or inappropriate treatment.
B. Refer the family to a chronic pain support group: Support groups are helpful for long-term coping and education, but they are not an immediate action. The nurse must first assess the current situation to guide any referrals.
C. Set up an appointment with the school nurse: While school involvement can support symptom management, especially for triggers or academic impact, it is not the initial step. The nurse must first gather complete data on the headaches.
D. Review the child's electronic pain diary: The pain diary provides detailed information about frequency, triggers, intensity, and patterns of the migraines. Reviewing it is the first step to making informed decisions about the child’s care plan.
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