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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Full volume of pedal pulses: Pedal pulses reflect peripheral arterial circulation, not neuropathic pain. Pregabalin does not affect vascular flow, so this finding is unrelated to the medication’s intended effect.
B. Reduced level of pain: Pregabalin is an anticonvulsant used to treat neuropathic pain by modulating nerve signals. A reduction in reported pain confirms that the medication is helping manage the client’s diabetic nerve pain.
C. Granulating tissue in foot ulcer: Wound healing is influenced by infection control, circulation, and blood glucose management—not directly by pregabalin. While important, this finding does not measure the drug’s effectiveness for neuropathy.
D. Improved visual acuity: Visual changes are not treated with pregabalin and may be associated with diabetic retinopathy. Pregabalin does not improve vision and is not indicated for ocular complications of diabetes.
Correct Answer is D
Explanation
Rationale:
A. Monitor amount of intake and infant's response to feedings: Feeding issues are a hallmark of pyloric stenosis, but by the time surgery is scheduled, feedings are typically withheld. This is useful earlier in the diagnosis, but not the top priority just before surgery.
B. Mark an outline of the "olive-shaped" mass in the right epigastric area: Palpation of the mass is diagnostic but not relevant once the diagnosis is confirmed and surgery is planned. It offers no clinical benefit at the pre-operative stage.
C. Instruct parents regarding care of the incisional area: Parental teaching is important, but it is more appropriate after the procedure. The infant’s immediate physiological stability takes precedence before surgery.
D. Initiate a continuous infusion of IV fluids per prescription: Infants with pyloric stenosis often experience vomiting, leading to dehydration and electrolyte imbalances (e.g., hypokalemia, hypochloremia). Restoring fluid and electrolyte balance is the highest priority before surgery to ensure safety under anesthesia.
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