What discharge teaching will the nurse provide to a patient who has gastric bypass surgery? Select all that apply.

Each of your meals should contain about 10 tablespoons of food.

You are likely to have little urine output for the first few weeks.

Report any back, shoulder, or abdominal pain to the surgeon.

Be certain to stay hydrated by drinking water.

Solid food can be introduced back into the diet in a week.

Answer and Explanation

Correct Answer : A,C,D

Each of your meals should contain about 10 tablespoons of food: After gastric bypass surgery, the stomach's size is reduced, and the patient's capacity to consume large quantities of food is limited. It is important to educate the patient about appropriate portion sizes to avoid overeating and potential complications.

Be certain to stay hydrated by drinking water: Hydration is crucial after gastric bypass surgery. Patients should be advised to drink enough water throughout the day to prevent dehydration and ensure proper bodily function.

Solid food can be introduced back into the diet in a week: Following gastric bypass surgery, the diet is initially limited to liquid and pureed foods. Gradually, solid foods can be reintroduced into the diet over time, typically after a week or as directed by the surgeon. This information is important for the patient to understand the progression of their diet post-surgery. You are likely to have little urine output for the first few weeks: This statement is not true and may cause unnecessary concern for the patient. Urine output should not be affected by gastric bypass surgery unless there are other complications.

Report any back, shoulder, or abdominal pain to the surgeon: While it is important to report any significant pain or discomfort to the surgeon, including back, shoulder, or abdominal pain, this is not specific to discharge teaching for gastric bypass surgery. Pain management and reporting should be covered during the post-operative care instructions, but it is not limited to discharge teaching alone.

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Correct Answer is A

Explanation

Albuterol is a short-acting beta-agonist bronchodilator that provides rapid relief of bronchospasm and helps to alleviate the symptoms of respiratory distress in asthma. It acts quickly to relax the smooth muscles in the airways, improving airflow and relieving wheezing, coughing, and shortness of breath. In an acute asthma exacerbation, albuterol is often the first-line medication used to provide immediate relief and improve respiratory function. Prednisone is an oral corticosteroid that has anti-inflammatory effects and is commonly used in the treatment of asthma. However, it is typically administered orally and takes time to exert its effects. In the emergency department setting, the focus is on providing immediate relief of symptoms, and oral medications like prednisone may not have an immediate effect. Ipratropium is an anticholinergic bronchodilator that can be administered via inhalation. While it is effective in relieving bronchospasm, it is generally used as an adjunct to albuterol and not typically the first-line medication for severe respiratory distress in asthma. Fluticasone is an inhaled corticosteroid that has anti-inflammatory effects and is used for long-term management and control of asthma. It is not appropriate for immediate relief of severe respiratory distress and is not typically used as a first-line medication in the emergency department.

A. Macrolides B. Fluoroquinolones C. Aminoglycosides D. Penicillins

Correct Answer is D

Explanation

Cephalosporins are similar to another group of beta-lactam antibiotics called the Penicillins. Both cephalosporins and penicillins belong to the beta-lactam class of antibiotics, which share a similar structure and mechanism of action. They inhibit bacterial cell wall synthesis by binding to specific proteins called penicillin-binding proteins (PBPs), leading to bacterial cell death. This shared mechanism of action makes cephalosporins and penicillins similar in their antibacterial effects.

On the other hand, macrolides, fluoroquinolones, and aminoglycosides are different classes of antibiotics with distinct structures and mechanisms of action. They work through different mechanisms to inhibit bacterial growth and have different spectrums of activity compared to beta-lactam antibiotics like cephalosporins and penicillins.

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What discharge teaching will the nurse provide to a patient who has gastric bypass surgery? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which medication should the nurse anticipate being used first in the emergency department for relief of severe respiratory distress related to asthma?

Correct Answer is A

Explanation

Cephalosporins are similar to another group of beta-lactam antibiotics called the?

Correct Answer is D

Explanation

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