A nurse is providing discharge teaching to a client who is 2 days postoperative following a gastric bypass. Which of the following client statements indicates an understanding of the teaching?
"My meals should eventually include 1/2 cup of raw celery and tomatoes."
"I should drink at least 100 ounces of fluids per day."
"My meals should consist of liquids or pureed foods for the first 5 weeks."
“I should have 2 ounces of protein three times per day."
The Correct Answer is C
A. Raw celery and tomatoes are not recommended in the early postoperative period following gastric bypass surgery due to their high fiber content, which may be difficult to tolerate.
B. Drinking at least 100 ounces of fluids per day may be excessive and can increase the risk of complications such as dumping syndrome in the early postoperative period following gastric bypass surgery. Fluid intake should be carefully monitored and follow the healthcare provider's recommendations.
C. Consuming liquids or pureed foods in the early postoperative period following gastric bypass surgery allows the gastrointestinal tract time to heal and adjust to the changes from the surgery. This statement indicates an understanding of the appropriate dietary progression after surgery.
D. The amount of protein intake may vary depending on individual factors and should be guided by the healthcare provider's recommendations. However, focusing solely on protein intake does not address the need for a gradual dietary progression in the early postoperative period.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Eating cold or room temperature foods can help reduce nausea and may be better tolerated by individuals undergoing chemotherapy.
B. Lying down after eating may worsen nausea, particularly in individuals undergoing chemotherapy. It is generally recommended to remain upright for at least 30 minutes after eating to aid digestion.
C. Carbohydrates are often easier to tolerate than fatty or greasy foods when experiencing nausea. Therefore, reducing carbohydrates in the diet may not be advisable for managing chemotherapy-induced nausea.
D. Eating before chemotherapy may exacerbate nausea, as chemotherapy can cause nausea and vomiting shortly after administration. It is generally recommended to eat light, bland foods and avoid heavy meals before chemotherapy.
Correct Answer is B
Explanation
A. Using a syringe to give the client fluids is not directly related to preventing aspiration during mealtime.
B. Tilt the client's head forward when swallowing helps to facilitate the movement of food down the esophagus and reduces the risk of aspiration by preventing food from entering the trachea.
C. Scheduling physical therapy directly before mealtime may increase the risk of aspiration due to potential fatigue or increased weakness during meal consumption.
D. Encouraging the client to complete the meal within 15 minutes may lead to rushed eating, increasing the risk of aspiration. It's more important to focus on safe swallowing techniques and taking adequate time to eat slowly.
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