The nurse is providing care for a patient who is one day postoperative from a Roux-en-Y surgical procedure. The nurse notices that the patient has received a lunch tray.Which of the following food items would be concerning to the nurse?

Strawberry yogurt

Chicken broth

Apple juice

Iced tea

Answer and Explanation

The Correct Answer is A

Choice A rationale
After a Roux-en-Y surgical procedure, patients are typically put on a liquid-only diet for the first week or two after surgery. Over the next month, they are able to add soft food and eventually regular food back into their diet. Given that the patient is only one day postoperative, the consumption of solid foods like strawberry yogurt could potentially lead to

complications such as dumping syndrome, which is a group of symptoms that includes vomiting, nausea, and dizziness. It occurs when food moves from your stomach into your small intestine too quickly.
Choice B rationale
Chicken broth is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Choice C rationale
Apple juice is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Choice D rationale
Iced tea is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.

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Correct Answer is C

Explanation

Choice A rationale
Bradycardia, or a slower than normal heart rate, is not typically a sign of gastrointestinal perforation in peptic ulcer disease25.
Choice B rationale
Hyperactive bowel sounds are not typically a sign of gastrointestinal perforation in peptic ulcer disease25.
Choice C rationale
Severe upper abdominal pain is a common sign of gastrointestinal perforation in peptic ulcer disease25. The pain is often sudden and severe, and it may spread to the back or shoulder.
Choice D rationale
A report of epigastric fullness is not typically a sign of gastrointestinal perforation in peptic ulcer disease25.

A. Cramping, constant pain to the left lower quadrant B. Diarrhea for 3 days C. Sudden onset 2 hours earlier D. Pain located in the right lower quadrant.

Correct Answer is A

Explanation

Choice A rationale
Diverticulitis is a condition that occurs when small pouches in the digestive tract become inflamed or infected. It typically causes severe, cramping pain that is constant and usually located in the lower left side of the abdomen.
Choice B rationale
While diarrhea can occur with diverticulitis, it is not the primary symptom used to describe the pain associated with this condition.
Choice C rationale
Sudden onset of pain is not typically associated with diverticulitis. The pain from diverticulitis is usually constant and located in the lower left side of the abdomen.
Choice D rationale
Pain located in the right lower quadrant is more commonly associated with conditions such as appendicitis, not diverticulitis.

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The nurse is providing care for a patient who is one day postoperative from a Roux-en-Y surgical procedure. The nurse notices that the patient has received a lunch tray.Which of the following food items would be concerning to the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is gathering data from a client who has peptic ulcer disease. Which of the following findings is a sign of gastrointestinal perforation?

Correct Answer is C

Explanation

The nurse is collecting data for a client with abdominal pain. Which pain description is consistent with diverticulitis?

Correct Answer is A

Explanation

The nurse is monitoring a patient recovering from an emergency appendectomy. Which finding is most concerning?

The nurse is preparing to administer a soapsuds enema to a client. Which position should the client be in to administer the enema?

A nurse is collecting data from a patient who has an obstruction and inflammation of the common bile duct due to cholelithiasis. Which finding is expected for this condition?

The nurse is providing care for a patient who is one day postoperative from a Roux-en-Y surgical procedure. The nurse notices that the patient has received a lunch tray.Which of the following food items would be concerning to the nurse?

A patient with Crohn’s disease has recently undergone surgery to create an ileostomy. For which common complication of this type of surgery should the nurse monitor the patient in the postoperative period?

A nurse is caring for a 45-year-old male client in the emergency department who reports severe abdominal pain. Exhibits Based on the information provided, which of the following provider’s prescriptions are anticipated, nonessential, or contraindicated for the client? Select one response per row.

The nurse is caring for a patient admitted with a possible bowel obstruction. Which patient symptom should cause the nurse the most concern?

A nurse is reinforcing teaching to a patient about how to perform fecal occult blood testing for colorectal cancer screening. Which statement by the patient indicates a need for further teaching?