A nurse is preparing to discharge a client from a surgical unit.
Consuming large meals to increase calorie intake
Starting with clear liquids and progressing to a regular diet
Skipping meals to reduce nausea
Eating fatty foods to provide energy
Chewing gum to stimulate gastric secretions
Ensuring adequate hydration
Avoiding NSAIDs for 10 days following the procedure
Correct Answer : B,E,F
Rationale:
A. Large meals can increase nausea and discomfort postoperatively. Small, frequent meals are recommended.
B. Gradually advancing from clear liquids to solid foods helps prevent nausea, vomiting, and gastrointestinal complications while allowing the digestive system to adjust.
C. Skipping meals can lead to malnutrition and delayed recovery.
D. High-fat foods are harder to digest and can exacerbate nausea and abdominal discomfort.
E. Gum chewing promotes bowel motility and can reduce the risk of postoperative ileus.
F. Maintaining fluid balance prevents constipation, dehydration, and electrolyte imbalances, supporting recovery.
G. While this may be important depending on the surgical site, it is not a dietary strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Baked potato is low in sodium if prepared without added salt, making it safe for a client on a diuretic.
B. Milkshake is generally safe unless it contains added sodium; in most cases, it is allowed.
C. Ham is high in sodium, which is contraindicated for a client taking bumetanide, a loop diuretic, as high sodium intake can counteract the diuretic effect and worsen fluid retention.
D. Stewed tomatoes can be included if unsalted; they are generally safe in moderation.
Correct Answer is C
Explanation
Rationale:
A. Decreased bilirubin is unrelated to digestion of blood in the GI tract.
B. Chloride levels do not indicate blood digestion.
C. When a client with esophageal varices bleeds into the GI tract, the digestion and absorption of blood proteins lead to increased nitrogen load, reflected as elevated BUN.
D. HbA1c reflects long-term blood glucose control, not acute digestion of blood.
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