The second day post-operatively, the NG tube is removed and an order is written for fluids as tolerated and a liquid diet. The patient is eager to try taking fluids. What should the nurse recommend that he do?

Start with small sips of water at first to see if they are retained

Wait until his liquid diet tray arrives at mealtime

Take in a variety of fluids totaling 3000mls/day

Go ahead and drink all the water he wants

Answer and Explanation

The Correct Answer is A

A. Start with small sips of water at first to see if they are retained. Starting with small sips allows the digestive system to adjust gradually, reducing the risk of nausea, vomiting, or complications from overconsumption after surgery.

B. Wait until his liquid diet tray arrives at mealtime. The patient is eager to try fluids, and waiting for the full meal tray may unnecessarily delay the process of reintroducing fluids.

C. Take in a variety of fluids totaling 3000mls/day. The patient should not be expected to consume a large volume of fluid right away; fluid intake should be gradually increased as tolerated.

D. Go ahead and drink all the water he wants. Allowing the patient to drink freely can overwhelm the digestive system and may cause complications, such as nausea or vomiting.

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Correct Answer is C

Explanation

A. Distract the client by giving him reading material. Distraction may not address the underlying anxiety and could delay processing the client's concerns about the surgery.

B. Suggest that he take a walk around the unit. While walking can help with anxiety in some patients, it does not directly address the client's expressed concern about the surgery itself.

C. Ask him to describe his concerns. The nurse should acknowledge the patient's feelings by encouraging them to express their concerns. This helps reduce anxiety and provides valuable information for further support.

D. Refer him to the spiritual care team. While spiritual care may be beneficial later, it’s essential to first address the patient’s immediate concerns before referring them to other services.

A. Are communications links with personnel outside the room B. Set up initial sterile instruments and supplies C. Advise the team of breaks in sterile technique D. Position lights on step stools

Correct Answer is A

Explanation

A. Are communications links with personnel outside the room. Both the scrub person and the circulating nurse serve as communication links with the personnel outside the operating room. The scrub person may communicate regarding sterile equipment needs, while the circulating nurse communicates about patient status and surgical progress.

B. Set up initial sterile instruments and supplies. This is the responsibility of the scrub person, not the circulating nurse. The scrub person ensures that sterile instruments are ready and that the sterile field is set up properly.

C. Advise the team of breaks in sterile technique. Only the scrub person is typically responsible for maintaining sterile technique and calling attention to any breaches in sterility. The circulating nurse may assist with ensuring the environment is safe, but the scrub person is directly in charge of sterile technique.

D. Position lights on step stools. Positioning the lights is the responsibility of the circulating nurse. The scrub person’s role is more focused on the sterile field and assisting with surgical instruments.

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The second day post-operatively, the NG tube is removed and an order is written for fluids as tolerated and a liquid diet. The patient is eager to try taking fluids. What should the nurse recommend that he do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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