When evaluating a client for a tendency toward addictive behaviors, the nurse would expect which findings?

A two-day postoperative client who has a large abdominal incision and says, “Something feels like it just popped open after I practiced my coughing”. This client may have a dehiscence or separation of the surgical wound, which is a serious complication that requires immediate attention.

The nurse should evaluate this client first and notify the surgeon.

Choice B is wrong because bile-colored fluid draining from a nasogastric tube is an expected finding after abdominal surgery and does not indicate an urgent problem.

The nurse should monitor the client’s fluid and electrolyte balance and provide antiemetics as needed.

Choice C is wrong because a three-day postoperative client who has an ileostomy and reports the need to have a bowel movement may have a paralytic ileus or a temporary cessation of bowel motility. This is a common postoperative complication that usually resolves within 72 hours.

The nurse should assess the client’s bowel sounds, abdominal distension, and ostomy output and encourage early mobilization and oral intake as tolerated.

Choice D is wrong because a three-day postoperative client who is receiving intravenous antibiotics for a wound infection may have a surgical site infection or an infection that occurs within 30 days of surgery. This is a preventable complication that can be managed with antibiotics, wound care, and infection control measures.

The nurse should monitor the client’s vital signs, wound appearance, and laboratory values and educate the client on signs and symptoms of infection.

This is because gelatin is a low-fat dessert that contains only 0.1 grams of fat per cup.

It is also low in calories and can be flavored with fruit juice or fresh fruits for added nutrition.

Choice A is wrong because a slice of fruit pie contains about 14 grams of fat per slice, which is high for a low-fat diet.

Fruit pies also have added sugar and refined flour that can increase the calorie intake.

Choice C is wrong because a bran muffin contains about 9 grams of fat per muffin, which is also high for a low-fat diet.

Bran muffins may have some fiber benefits, but they also have added sugar and oil that can make them less healthy.

Choice D is wrong because one plain doughnut contains about 11 grams of fat per doughnut, which is also high for a low-fat diet.

Doughnuts are deep-fried and have a lot of sugar and refined flour that can contribute to weight gain and health problems.

Some other examples of low-fat dessert choices are sorbet, fruit salad, yogurt, pudding, and angel food cake.

These desserts are lower in fat and calories than pies, muffins, and doughnuts, and can satisfy a sweet tooth without compromising the dietary instructions.