A client who had bariatric surgery 2 months ago is admitted because of vomiting and inability to tolerate food and liquids. The client is pain free. Which intervention should the nurse include in the client's plan of care?
Maintain the client on an NPO status.
Determine if the client is over-hydrating to feel satiated.
Administer daily vitamin supplements.
Encourage positive self accolades for dietary adherence.
The Correct Answer is A
A. Maintain the client on an NPO status: After bariatric surgery, vomiting and the inability to tolerate food and liquids could indicate complications such as gastric outlet obstruction or stenosis. Maintaining NPO status allows the gastrointestinal system to rest while the cause of the symptoms is investigated and treated.
B. Determine if the client is over-hydrating to feel satiated: While over-hydration can cause discomfort, the immediate concern is the client's inability to tolerate food and liquids, which may suggest a more serious issue.
C. Administer daily vitamin supplements: While vitamin supplementation is essential after bariatric surgery to prevent deficiencies, it does not directly address the current issue of vomiting and inability to tolerate food and liquids.
D. Encourage positive self accolades for dietary adherence: Though reinforcing positive behavior is important in long-term weight loss management, it is not the priority at this moment. The immediate focus is addressing the client's symptoms and ensuring they are medically managed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Emphasize that using safe sex practices removes the risk of STIs: While safe sex practices significantly reduce the risk of STIs, they do not eliminate the risk entirely. It is important to provide accurate, non-judgmental information about risk reduction rather than implying complete protection.
B. Remain non-judgmental and assure the client of confidentiality: The nurse should provide a safe, supportive environment to encourage open communication, while assuring the client that their information will remain confidential. This promotes trust and encourages the client to seek necessary care.
C. Clarify that all STIs are transmitted through sexual intercourse: While many STIs are transmitted through sexual contact, some can also be transmitted through other routes, such as blood or vertical transmission.
D. Inform that follow-up may end after the treatment is finished: Follow-up care ensures the effectiveness of treatment and monitoring for potential complications. Informing the client that follow-up may end prematurely could discourage the client from seeking necessary care.
Correct Answer is A
Explanation
A. A child with asthma, who takes prednisone and has a fasting serum glucose of 180 mg/dL (10 mmol/L): This client’s fasting glucose is well above the normal range. Prednisone can increase blood glucose levels, placing the child at risk for hyperglycemia. This indicates a need for urgent education on blood glucose management while on steroids.
B. An adolescent male who has type 1 diabetes and a random glucose at 120 mg/dL (6.7 mmol/L): This blood glucose level is within normal limits for random testing. No immediate need for change in diabetic teaching is evident based on this value.
C. A female who has gestational diabetes and has a 1-hour postprandial glucose at 140 mg/dL (7.8 mmol/L): Her result meets the upper limit range for gestational diabetes. While she requires ongoing monitoring, her values do not indicate a need for urgent intervention.
D. An adult who has type 2 diabetes and has a glycosylated hemoglobin (Hb A1C) at 10%: Although this indicates poor long-term control, it reflects a chronic issue. The child with an acutely elevated fasting glucose and corticosteroid use is at greater immediate risk and thus has higher priority for education.
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