Which dietary intervention(s) should the nurse include in the plan of care for a client who had bariatric surgery? Select all that apply.

Separate fluids from meals.

Plan meals to include rice porridge.

Eliminate acidic food choices.

Offer more bread and cheese.

Provide small frequent meals.

Answer and Explanation

Correct Answer : A,E

Rationale:

A. Separate fluids from meals: Fluids should be consumed at least 30 minutes before or after meals to prevent gastric overdistention and dumping syndrome, which are common after bariatric surgery.

B. Plan meals to include rice porridge: Rice porridge is high in simple carbohydrates, which can cause dumping syndrome and rapid gastric emptying. It is not ideal post-surgery.

C. Eliminate acidic food choices: Acidic foods like citrus or tomatoes may cause discomfort, but they are not universally contraindicated. Tolerance varies by individual, so elimination is not routinely necessary.

D. Offer more bread and cheese: Bread can form a sticky bolus that’s hard to swallow post-op, and cheese is high in fat. Both can cause discomfort or intolerance early in recovery.

E. Provide small frequent meals: After bariatric surgery, the stomach’s capacity is reduced, so clients need to eat small, frequent meals to meet nutritional needs and prevent nausea or vomiting.

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Correct Answer is A

Explanation

Rationale:
A. Ask the client to describe the pain: Describing the pain in the client's own words helps determine the pain’s quality, such as whether it's throbbing, stabbing, or dull. This subjective data is critical for diagnosing migraine type. It provides insight into patterns and guides individualized treatment options.

B. Provide a numeric pain scale: The numeric pain scale measures intensity, not quality, of pain. While important, it does not offer specific details on the sensation or nature of the migraine. It is more effective for tracking changes in pain severity over time.

C. Identify effective pain relief measures: This evaluates which interventions are working, not the type of pain being experienced. It is valuable for long-term management but doesn't assist with assessing the sensory qualities of current pain..

D. Observe body language and movement: Observation gives indirect clues about pain presence but not quality. Body language may suggest discomfort, yet it cannot replace verbal descriptions of the pain's nature.

A. Encourage wearing a medical alert identification bracelet. B. Explain the importance of counting carbohydrate intake. C. Provide printed materials about the treatment of diabetes. D. Teach how to recognize and treat hypoglycemia.

Correct Answer is D

Explanation

Rationale:
A. Encourage wearing a medical alert identification bracelet: While important for safety, especially in emergencies, it does not directly affect daily self-management or immediate health risks like hypoglycemia.

B. Explain the importance of counting carbohydrate intake: Carbohydrate counting is vital for glucose management but becomes more effective once the client understands how to handle acute complications like hypoglycemia.

C. Provide printed materials about the treatment of diabetes: Educational materials support learning, but the nurse must prioritize hands-on, actionable education—especially about emergencies like hypoglycemia.

D. Teach how to recognize and treat hypoglycemia: Hypoglycemia can occur quickly and lead to seizures, unconsciousness, or death if untreated. Teaching recognition and response is the most urgent priority for client safety.

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Which dietary intervention(s) should the nurse include in the plan of care for a client who had bariatric surgery? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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