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 C
Explanation
A. Insert the oral thermometer in front of the infant's tongue: Infants under 3 years old are typically unable to hold an oral thermometer safely under the tongue, making this method inappropriate and potentially unsafe.
B. Pull the pinna of the infant's ear forward before inserting the probe: For infants under 1 year old, the pinna should be pulled down and back to properly align the ear canal for an accurate tympanic temperature reading. Pulling it forward could result in inaccurate measurements.
C. Place the tip of the thermometer under the center of the infant's axilla: Axillary temperature measurement is safe and recommended for infants. The thermometer should be placed in the center of the armpit with the arm held snugly against the body to ensure an accurate reading.
D. Insert the probe 3.8 cm (1.5 in) into the infant's rectum: Rectal thermometer insertion in infants should only be about 2.5 cm (1 inch) to avoid rectal perforation. Inserting 3.8 cm is too deep and unsafe for an infant.
Correct Answer is B
Explanation
A. Candidiasis: Candidiasis is a common fungal infection that is not nationally notifiable. While it may require treatment, it does not need to be reported to the state health department for public health surveillance.
B. Chlamydia: Chlamydia is a nationally notifiable sexually transmitted infection. Reporting to the state health department is required to monitor prevalence, track outbreaks, and implement public health interventions to reduce transmission.
C. Herpes simplex virus: Genital herpes infections are not generally reportable to public health authorities in most states, though some jurisdictions may require reporting under specific circumstances. It is not considered nationally notifiable in the same way as chlamydia.
D. Human papillomavirus: HPV infection is highly prevalent and usually asymptomatic, and it is not a nationally notifiable disease. Public health efforts focus on vaccination and screening rather than mandatory reporting.
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