When discharging a client who had gastric bypass surgery, a nurse makes sure to include which food sources in the client’s discharge planning about complete proteins? (Select all that apply)

Chicken

Nuts

Beans, not soybeans

Cow’s milk

Cheese

Answer and Explanation

Correct Answer : A,D,E

Choice A reason: Chicken is a complete protein, providing all nine essential amino acids, with approximately 26 grams of protein per 3-ounce serving. For gastric bypass patients, it supports tissue repair and weight maintenance, as it is low in fat and easily digestible, crucial for post-surgical nutritional needs with reduced stomach capacity.

Choice B reason: Nuts, such as almonds, provide about 7 grams of protein per ounce but are incomplete proteins, lacking certain essential amino acids like lysine. For gastric bypass patients, their high fat content and lower protein density make them less ideal compared to complete protein sources for meeting post-surgical protein demands.

Choice C reason: Beans (excluding soybeans) are incomplete proteins, deficient in amino acids like methionine, offering about 15 grams of protein per cup. For gastric bypass patients, they are less optimal due to incomplete amino acid profiles and potential digestive discomfort, which can be problematic with altered gut function post-surgery.

Choice D reason: Cow’s milk is a complete protein, providing 8 grams per cup with all essential amino acids. It supports muscle maintenance and healing in gastric bypass patients, who need high-quality protein to prevent malnutrition. Its liquid form aids digestion, making it suitable for post-surgical dietary restrictions and small meal sizes.

Choice E reason: Cheese is a complete protein, offering about 7 grams per ounce, containing all essential amino acids. For gastric bypass patients, it supports tissue repair and satiety, though portion control is needed due to fat content. Its high protein density makes it a valuable option for meeting post-surgical nutritional requirements.

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Correct Answer is B

Explanation

Choice A reason: Brussels sprouts cooked in butter provide minimal protein (about 3 grams per cup) and are primarily a vegetable source of fiber and vitamins. Butter adds fat but no protein, making this inadequate for post-surgery healing, which requires high-quality protein for tissue repair.

Choice B reason: Soybean-based hamburger with cheese offers complete proteins, with soy providing all essential amino acids (about 20 grams per patty) and cheese adding high-quality dairy protein (about 7 grams per ounce). This supports tissue repair and immune function critical for post-surgery recovery.

Choice C reason: Pasta with red sauce is primarily a carbohydrate source, with pasta offering about 5 grams of protein per cup. Red sauce contributes negligible protein. This combination is insufficient for meeting the elevated protein needs required for surgical wound healing and tissue regeneration.

Choice D reason: Baked potato with sour cream and broccoli provides limited protein (potato: ~4 grams, broccoli: ~3 grams per cup, sour cream: ~1 gram per tablespoon). This meal is primarily carbohydrate-based, lacking the high-quality protein needed for optimal post-surgery tissue repair and recovery.

A. Peanut butter on whole grain toast B. Canned tuna mixed with brown rice C. White rice with steamed vegetables D. Instant noodles with broth

Correct Answer is A

Explanation

Choice A reason: Peanut butter provides about 7 grams of protein per tablespoon, offering a near-complete amino acid profile, and is highly cost-effective. Whole grain toast adds complex carbohydrates (~3 grams protein), supporting energy needs. This combination is affordable, nutrient-dense, and supports muscle maintenance and satiety for budget-conscious diets.

Choice B reason: Canned tuna offers about 25 grams of complete protein per can, rich in essential amino acids. However, its cost is higher than peanut butter, and mercury content may limit frequent consumption. It is less budget-friendly, making it a secondary choice for daily protein needs.

Choice C reason: White rice with steamed vegetables provides minimal protein (rice: ~2 grams per cup, vegetables: <2 grams), primarily carbohydrates. This meal lacks sufficient amino acids for muscle repair or growth, making it inadequate as a budget-friendly protein source compared to peanut butter or tuna.

Choice D reason: Instant noodles with broth offer less than 5 grams of protein per serving, lacking essential amino acids. High in sodium and processed carbohydrates, they provide minimal nutritional value for protein needs, making them an unsuitable choice for a budget-friendly, protein-rich meal.

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When discharging a client who had gastric bypass surgery, a nurse makes sure to include which food sources in the client’s discharge planning about complete proteins? (Select all that apply)

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