A patient who had surgery earlier in the day using general anesthesia asks whether he can have something to eat. The diet order indicates clear liquids can be taken. Before giving a Jell O to the patient, the nurse should check for the presence of:
palpable peripheral pulses.
clear lung sounds.
adequate urinary drainage.
bowel sounds in all quadrants.
The Correct Answer is D
A. Palpable peripheral pulses. Palpable pulses are important for circulatory assessment but are not relevant in determining whether the patient can eat after surgery.
B. Clear lung sounds. Clear lung sounds are important for respiratory status, but they are not the primary factor in determining whether a patient can start clear liquids.
C. Adequate urinary drainage. Urinary drainage is important for monitoring kidney function postoperatively but is not a primary factor in whether a patient can eat clear liquids.
D. Bowel sounds in all quadrants. The presence of bowel sounds indicates that the gastrointestinal system is functioning well enough to begin processing liquids, making this an important assessment before offering fluids or food.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. To relieve pain or complication without caring: This definition does not align with the meaning of "autologous." It is not related to relieving pain or complications.
B. Voluntary: "Voluntary" refers to an action taken by choice, but this is not the definition of "autologous."
C. Own, originating within an individual: "Autologous" refers to something that originates from the same individual. For example, autologous blood donation means the patient donates their own blood for later use.
D. Artificial body part: An artificial body part refers to a prosthesis, not something autologous. Autologous refers to the self, such as autologous tissue or stem cells.
Correct Answer is D
Explanation
A. Palpable peripheral pulses. Palpable pulses are important for circulatory assessment but are not relevant in determining whether the patient can eat after surgery.
B. Clear lung sounds. Clear lung sounds are important for respiratory status, but they are not the primary factor in determining whether a patient can start clear liquids.
C. Adequate urinary drainage. Urinary drainage is important for monitoring kidney function postoperatively but is not a primary factor in whether a patient can eat clear liquids.
D. Bowel sounds in all quadrants. The presence of bowel sounds indicates that the gastrointestinal system is functioning well enough to begin processing liquids, making this an important assessment before offering fluids or food.
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