A nurse is monitoring a client who is 36 hrs 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.

Answer and Explanation

The Correct Answer is C

A. The client is voiding at least 250 mL/hr. This amount is excessive and not typical. The expected urine output for an adult is at least 30 mL/hr, so 250 mL/hr could indicate overhydration or diuretic use, which is not expected postoperatively.
B. The client is maintaining bed rest. Early ambulation is encouraged after surgery to prevent complications like deep vein thrombosis and promote recovery. Bed rest 36 hours post-op is not expected unless medically indicated.
C. The client is tolerating clear liquids. After gastric banding, clients typically start with clear liquids and gradually progress to more solid foods. Tolerating clear liquids at 36 hours post-op is an expected and positive finding.
D. The client is consuming 1,000 calories daily. At this stage post-op, calorie intake is significantly restricted, often much lower than 1,000 calories. Intake gradually increases as the diet progresses from liquids to solids.

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Correct Answer is A

Explanation

A. "Rise slowly when getting out of bed." Furosemide can lead to significant fluid and electrolyte loss, causing orthostatic hypotension. Clients may experience dizziness or lightheadedness when changing positions. Rising slowly helps prevent falls and promotes safety.
B. “Taking furosemide can cause you to be overhydrated." Furosemide is a potent diuretic that promotes fluid excretion, not retention. The risk of dehydration and electrolyte imbalance is much higher than overhydration. Monitoring intake and output is essential.
C. "Eat foods that are high in sodium." High sodium intake increases fluid retention, which can worsen heart failure symptoms. Furosemide is often prescribed to manage fluid overload, and sodium-rich foods would counteract its effects. A low-sodium diet is recommended.
D. “Taking furosemide can cause your potassium levels to be high." Furosemide increases the excretion of potassium through the kidneys, often leading to hypokalemia. Low potassium levels can result in muscle weakness or cardiac arrhythmias.

A. Changes from prone to sitting B. Rolls from back to abdomen C. Sits steadily unsupported D. Rolls from back to side

Correct Answer is D,B,C,A

Explanation

D. Rolls from back to side usually occurs around 4 months of age as the infant begins developing trunk strength.

B. Rolls from back to abdomen typically follows at around 5 to 6 months, indicating improved coordination and strength.

C. Sits steadily unsupported usually develops around 8 months, showing advanced balance and postural control.

A. Changes from prone to sitting is a more complex skill that typically appears around 10 months, requiring significant core strength and motor planning.

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A nurse is monitoring a client who is 36 hrs postoperative following gastric banding. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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Correct Answer is D,B,C,A

Explanation

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