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Which dietary advancement should be made first after the return of bowel sounds postoperatively?

A.

Clear liquids

B.

Soft diet

C.

Regular diet

D.

Full liquid diet

Answer and Explanation

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.


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Related Questions

Correct Answer is D

Explanation

Rationale:
A. Dietary sources of fiber should not be eliminated; in fact, fiber from food complements the effect of psyllium and supports normal bowel function.

B. Fiber-containing laxatives can have adverse effects, such as bloating, gas, or, rarely, intestinal obstruction if not taken with adequate fluid.

C. Psyllium does not significantly reduce absorption of fat-soluble vitamins; this concern is more relevant to certain other medications, like cholestyramine.

D. Psyllium absorbs water in the intestines, forming a bulky stool. To prevent fecal impaction or bowel obstruction, it is essential to take large amounts of fluid when using this type of laxative.

Correct Answer is ["A","B","D"]

Explanation

Rationale:

  • Hydration therapy is the cornerstone of pediatric diarrhea management, as children are at high risk for rapid fluid loss and dehydration. Both oral rehydration solutions and IV fluids may be necessary depending on severity.
  • Electrolyte replacement helps correct imbalances caused by frequent watery stools, especially sodium and potassium losses, preventing complications like hypovolemia and arrhythmias.
  • Clear liquid diet provides gentle reintroduction of fluids and easy-to-digest intake, helping to maintain hydration while minimizing gastrointestinal irritation.
  • Low-fiber diet may reduce stool bulk but is not a primary intervention for acute diarrhea.
  • Opioid analgesics are contraindicated in children with diarrhea due to risk of bowel obstruction and toxicity.
  • Antibiotic administration is only appropriate when a bacterial cause has been confirmed; most pediatric diarrhea is viral and self-limiting.

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