Which dietary advancement should be made first after the return of bowel sounds postoperatively?
Clear liquids
Soft diet
Regular diet
Full liquid diet
The Correct Answer is A
Rationale:
A. After the return of bowel sounds postoperatively, clear liquids (e.g., water, broth, tea, clear juice) are introduced first. This allows the gastrointestinal tract to gradually resume function and ensures the client can tolerate fluids without nausea, vomiting, or distention.
B. A soft diet is introduced later once the client tolerates clear liquids and then full liquids, as it is more complex to digest.
C. A regular diet is not started immediately after surgery; the gut needs gradual reintroduction to food.
D. Full liquids can be given after clear liquids are tolerated, as they are more substantial and include milk-based or blended foods.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Magnesium levels may actually drop, not rise, during refeeding syndrome due to intracellular shifts.
B. Calcium levels are typically not elevated as a direct result of refeeding syndrome.
C. Refeeding syndrome occurs when malnourished patients receive rapid carbohydrate reintroduction, triggering insulin release. This drives phosphate, potassium, and magnesium into cells, with phosphate depletion being the hallmark and most clinically significant electrolyte disturbance. Hypophosphatemia can cause muscle weakness, respiratory failure, and cardiac dysfunction.
D. Sodium levels may fluctuate, but hyponatremia is not the primary concern in refeeding syndrome.
Correct Answer is C
Explanation
Rationale:
A. The tubing for TPN must be changed every 24 hr (not 48 hr) to reduce the risk of central line–associated bloodstream infection (CLABSI).
B. Lipid emulsions should not hang for more than 12 hr to prevent bacterial growth and infection.
C. A 1.2-micron filter is required for TPN that contains lipids to remove particulate matter, bacteria, and fungi, since lipid solutions cannot pass through smaller filters.
D. TPN solutions should be changed every 24 hr (not 36 hr) to reduce infection risk.
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