A nurse is teaching about dietary guidelines to a client who had bariatric surgery due to obesity. Which of the following information should the nurse include in the teaching?
Consume at least 60 g of protein daily.
Limit each meal size to 1.5 cups (12 oz) after 2 weeks.
Use a straw to sip liquids the first day after surgery.
Drink 4 oz of high-calorie liquids immediately before and after meals.
The Correct Answer is A
A. Consume at least 60 g of protein daily. Adequate protein intake is crucial for healing and maintaining muscle mass after bariatric surgery.
B. Limit each meal size to 1.5 cups (12 oz) after 2 weeks. Post-bariatric surgery, meal sizes should be much smaller to prevent overstretching the stomach pouch.
C. Use a straw to sip liquids the first day after surgery. Using a straw can introduce air and cause discomfort; it is generally not recommended.
D. Drink 4 oz of high-calorie liquids immediately before and after meals. High-calorie liquids should be avoided to prevent dumping syndrome and ensure nutrient-dense food intake.
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Related Questions
Correct Answer is A
Explanation
A. Provide the client with a snack between lunch and dinner. Many Seventh-day Adventists follow a diet that emphasizes healthy eating and may include snacks between meals. It's important to accommodate their dietary habits, which often include vegetarianism and abstaining from caffeine.
B. Offer the client hot tea at bedtime. Many Seventh-day Adventists avoid caffeine, which includes most teas.
C. Ensure the client has a cup of coffee with every meal. Coffee contains caffeine, which is often avoided by Seventh-day Adventists.
D. Offer the client water before and after meals. While offering water is generally good practice, this option does not specifically address the dietary practices of Seventh-day Adventists.
Correct Answer is D
Explanation
A. "The provider should sign the advance directives before it is valid." This statement is incorrect. Advance directives are valid once they are signed by the client, not the provider. The provider's signature is not required.
B. "The health care proxy is required to approve the client's wishes listed in advance directives." This statement is incorrect. The health care proxy does not have the authority to approve or alter the client's wishes. The proxy is responsible for ensuring that the client's wishes are followed as documented in the advance directives.
C. "The health care proxy can add additional treatments to the advance directives." This statement is incorrect. The health care proxy cannot add or change treatments listed in the advance directives. Their role is to make decisions based on the existing directives.
D. "Advance directives should be documented in the client's medical record." This statement is correct. Advance directives should be documented in the client's medical record to ensure that all healthcare providers are aware of and can adhere to the client's wishes.
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