The nurse is planning care for a client after surgery. Which nutrition intervention should the nurse include in the plan of care?
Implement a fluid restriction.
Provide a high-protein diet.
Encourage high caffeine beverages.
Limit the intake of citrus fruits.
The Correct Answer is B
A. Implement a fluid restriction: Fluid restriction is indicated only in specific conditions such as heart failure or renal failure. Routine postoperative clients typically require adequate hydration to support healing, so restricting fluids is not appropriate.
B. Provide a high-protein diet: Protein is essential for wound healing, tissue repair, and maintaining immune function after surgery. A high-protein diet supports collagen formation, prevents muscle loss, and enhances recovery. This intervention is a standard component of postoperative nutrition care.
C. Encourage high caffeine beverages: Caffeine can lead to dehydration and increased heart rate, which may complicate recovery. High caffeine intake does not support healing and is not recommended as a postoperative nutrition intervention.
D. Limit the intake of citrus fruits: Citrus fruits provide vitamin C, which supports collagen synthesis and immune function. Limiting them is unnecessary unless there is a specific allergy or gastrointestinal intolerance. Their inclusion is generally beneficial for surgical recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Mosquitoes: Mosquitoes are biological vectors that carry and transmit pathogens, such as the viruses causing malaria, dengue, or Zika, from one host to another. They actively participate in the pathogen’s life cycle and facilitate disease spread through biting.
B. Blood: Blood is a vehicle for disease transmission when pathogens are present, such as in hepatitis B or HIV, but it is not considered a vector because it does not actively transport pathogens between hosts.
C. Feces: Feces can serve as a reservoir or source of pathogens in fecal-oral transmission, such as in cholera or hepatitis A, but it is not a vector because it does not actively transmit the pathogen.
D. Water: Contaminated water can act as a medium or vehicle for disease transmission, like in typhoid or cholera outbreaks, but it does not function as a biological vector.
Correct Answer is B
Explanation
A. A client with an abnormal gait who takes an anticonvulsant medication: This client is at increased fall risk due to gait instability and potential medication side effects. However, if the client can request assistance and is cognitively intact, the immediate risk is lower than for clients with impaired judgment.
B. A client with lower extremity weakness and dementia: Dementia impairs judgment, awareness of limitations, and the ability to request help, while lower extremity weakness compromises mobility. This combination places the client at highest immediate risk for unassisted falls, making activation of the bed alarm a priority.
C. A client with visual impairment who calls for assistance when needed: While visual deficits increase fall risk, the client’s ability to recognize limitations and seek help mitigates immediate danger. The fall risk is present but less urgent than for a cognitively impaired client who may attempt to get out of bed unassisted.
D. A client with hypotension who uses a walker to ambulate: Hypotension may cause dizziness, increasing fall risk during ambulation. However, if the client waits for assistance and uses mobility aids appropriately, the risk of unassisted falls is lower than in a client with dementia and mobility weakness.
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