A female client who had bariatric surgery two weeks ago returns to the emergency department and is readmitted to the hospital because she reports experiencing nausea, vomiting, abdominal cramps, and severe diarrhea. Which intervention(s) should the nurse include in the plan of care? Select all that apply.

Plan meals with low fiber.

Separate fluids from meals.

Eliminate acidic food choices.

Offer comfort foods.

Provide small, frequent meals.

Answer and Explanation

Correct Answer : A,B,E

A. Plan meals with low fiber: After bariatric surgery, the digestive system can be more sensitive, and high-fiber foods may cause discomfort. Planning low-fiber meals helps reduce irritation and minimize symptoms like diarrhea and cramping.

B. Separate fluids from meals: This is an important intervention because drinking fluids during meals can increase the risk of dumping syndrome, leading to nausea, vomiting, and diarrhea. Fluids should be consumed between meals to help avoid these symptoms.

C. Eliminate acidic food choices: Acidic foods (like citrus, tomatoes, some sauces) can irritate the sensitive gastric pouch and small intestine after bariatric surgery, potentially exacerbating symptoms of nausea, abdominal cramps, and discomfort.

D. Offer comfort foods: Comfort foods are not appropriate for this client, as they may be high in fat, sugar, or calories, which could exacerbate symptoms after bariatric surgery. Instead, nutritious and easily digestible foods should be offered.

E. Provide small, frequent meals: Offering small, frequent meals helps reduce the strain on the digestive system, making it easier for the client to tolerate food. Large meals can cause discomfort and increase the risk of complications such as dumping syndrome.

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Correct Answer is C

Explanation

A. Dilated pupils, tachycardia, elevated blood pressure, elation: These symptoms are more typical of stimulant intoxication and do not indicate alcohol withdrawal. They are not consistent with the need for a detox protocol focused on alcohol or other depressants.

B. Excessive eating, constipation, headache: These symptoms are not associated with alcohol or drug intoxication or withdrawal. They do not suggest a need for detoxification medication protocols.

C. Nausea, vomiting, diaphoresis, anxiety, tremors: These are classic signs of alcohol withdrawal and suggest the need for detoxification. These symptoms require immediate intervention to manage withdrawal safely and avoid complications.

D. Mood lability, poor hand coordination, fever, drowsiness: These signs are more indicative of intoxication with substances like sedatives. While concerning, they do not point to alcohol withdrawal, which requires specific detox protocols.

Correct Answer is ["1.3"]

Explanation

Rationale:

Convert the infant's weight from pounds (lb) to kilograms (kg).

Weight in kg = 22 lb / 2.2 lb/kg

= 10 kg.

Calculate the total daily desired dose in milligrams (mg).

Total daily desired dose (mg) = Desired dose (mg/kg/day) × Weight (kg)

= 20 mg/kg/day × 10 kg

= 200 mg/day.

Determine the number of doses per day.

Doses are given every 8 hours, so Number of doses per day = 24 hours / 8 hours/dose

= 3 doses/day.

Calculate the dose per administration in milligrams (mg).

Dose per administration (mg) = Total daily desired dose (mg) / Number of doses per day

= 200 mg / 3 doses

= 66.666 mg.

Available concentration of the medication = 250 mg / 5 mL.

Calculate the volume in milliliters (mL) to administer per dose.

Volume (mL) = Desired dose per administration (mg) / (Available concentration (mg) / Available volume (mL))

= 66.666 mg / (250 mg / 5 mL)

= 66.666 mg / 50 mg/mL

= 1.333 mL.

Round the answer to the nearest tenth.

= 1.3

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing the plan of care for a newly admitted client who is intoxicated on admission. Which findings should the nurse include as indicators to begin implementing the detoxification medication protocol?

Correct Answer is C

Explanation

Correct Answer is ["1.3"]

Explanation

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