A nurse is monitoring a client who is 36 hr postoperative following gastric banding. Which of the following findings should the nurse expect?
The client is voiding at least 250 mL/hr.
The client is maintaining bed rest.
The client is tolerating clear liquids.
The client is consuming 1,000 calories daily.
The Correct Answer is C
A. The client is voiding at least 250 mL/hr: Normal urine output for adults is approximately 30 mL/hr. Voiding 250 mL/hr is unusually high and may indicate overhydration or diuresis; this is not an expected postoperative finding.
B. The client is maintaining bed rest: Early ambulation is encouraged after gastric banding to prevent complications such as venous thromboembolism, pneumonia, and delayed bowel function. Prolonged bed rest is not an expected or recommended postoperative behavior.
C. The client is tolerating clear liquids: After gastric banding, clients are typically advanced to clear liquids initially, progressing slowly to full liquids and soft foods as tolerated. Tolerance of clear liquids at 36 hours postoperatively is an expected and appropriate finding.
D. The client is consuming 1,000 calories daily: Postoperative dietary intake is extremely limited immediately following gastric banding. Consuming 1,000 calories per day this early is not typical, as intake usually starts with small, frequent, clear-liquid servings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bacon and cheese quiche with milk: Bacon is pork, which is prohibited in kosher dietary laws, and combining meat with dairy (cheese) is also not allowed. This choice violates both the type of meat and the meat–dairy combination rules.
B. Ham sandwich with milk: Ham is derived from pork, which is forbidden in kosher practice, and pairing it with milk further violates the prohibition against mixing meat and dairy. This makes the selection inappropriate for a kosher diet.
C. Shrimp salad and tomato soup with milk: Shrimp is considered a non-kosher seafood and cannot be consumed under kosher laws. Including it on the tray makes this option unacceptable regardless of the other items.
D. Scrambled eggs and toast with milk: Eggs are considered kosher, and when paired with dairy (milk), they comply with kosher dietary rules because eggs are neither meat nor fish. Toast is acceptable, making this the appropriate choice for a client following kosher traditions.
Correct Answer is ["A","B"]
Explanation
A. Food stamps: Supplemental Nutrition Assistance Program (SNAP), commonly called food stamps, provides financial assistance for purchasing nutritious food. For a client below the poverty level, this resource helps ensure adequate nutrition, which is essential for recovery during home IV therapy.
B. Medicaid: Medicaid offers health coverage for low-income individuals, including coverage for home health services and necessary medical equipment. Enrolling the client in Medicaid can facilitate access to home IV therapy and reduce out-of-pocket expenses.
C. Respite care: Respite care provides temporary relief to caregivers but is not directly relevant to a young adult client managing home IV therapy independently. While useful in certain situations, it is not a primary resource for financial or medical support in this case.
D. Medicare Part A: Medicare primarily covers hospital and skilled nursing facility care for adults over 65 or with certain disabilities. A young adult below the poverty level is unlikely to qualify, making this an inappropriate recommendation for home IV therapy coverage.
E. Adult day care: Adult day care services are designed for older adults requiring supervision or social interaction. This service is not applicable for a young adult client requiring home IV therapy and does not address financial or medical support needs.
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