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
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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Related Questions
Correct Answer is D
Explanation
A. To relieve pain or complications without curing. This describes palliative care, not perioperative care.
B. Voluntary. This does not define perioperative care; it relates to patient decision-making (e.g., elective surgery).
C. Own, originating within an individual. This describes something intrinsic (e.g., idiopathic conditions), not perioperative care.
D. Care from decision to have surgery through the recovery period. (Correct Answer) Perioperative care includes preoperative, intraoperative, and postoperative care, ensuring patient safety and optimal surgical outcomes.
Correct Answer is B
Explanation
A. Nausea and vomiting. Nausea and vomiting can occur after surgery due to anesthesia and other factors. However, it is more common in patients of all ages who undergo certain types of surgery. Though these groups may be more susceptible, this is not the most specific risk.
B. Delayed healing. Both very young and older adult patients are at higher risk for delayed healing. In the very young, the immune system and cell regeneration processes are still developing, while in older adults, decreased circulation, chronic conditions, and slower cellular regeneration can impair wound healing.
C. Anorexia. Anorexia is not specific to surgical patients. While appetite loss can occur postoperatively, it is not as universally problematic in young or older surgical patients as delayed healing.
D. Hydration issues. Hydration issues can occur in all patients, especially following surgery, but they are particularly critical for the very young (due to smaller body mass and high fluid turnover) and the elderly (due to decreased kidney function and total body water). However, this is not as universally prevalent as delayed healing.
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