A nurse is planning care for a client who is returning to the unit following open gastric bypass surgery. Which of the following interventions should the nurse include in the client's plan of care?

Ambulate the client 48 hr after the procedure.

Provide a soft diet on the first postoperative day.

Provide 60 mL (2 oz) of fluid intake every 5 min.

Measure and compare abdominal girth daily.

Answer and Explanation

The Correct Answer is D

A) Ambulate the client 48 hr after the procedure: Early ambulation is important to prevent complications such as deep vein thrombosis and promote recovery. However, ambulating the client 48 hours after the procedure may be too late. Early mobilization, usually within the first 24 hours, is encouraged.

B) Provide a soft diet on the first postoperative day: After gastric bypass surgery, the client typically starts with clear liquids and gradually progresses to a soft diet. Providing a soft diet on the first postoperative day is not appropriate and could cause complications.

C) Provide 60 mL (2 oz) of fluid intake every 5 min: Fluid intake should be carefully monitored and gradually increased. Providing 60 mL of fluid every 5 minutes is excessive and could lead to discomfort or complications such as dumping syndrome.

D) Measure and compare abdominal girth daily: Measuring and comparing abdominal girth daily helps monitor for signs of complications such as internal bleeding or anastomotic leaks. This intervention is crucial for early detection and prompt management of potential issues

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

A) "Raise the side rails up when the client is in bed.": While raising side rails may provide a sense of security, it can also increase the risk of falls if the client attempts to climb over them. Side rails should be used judiciously and are not always the safest option for clients with dementia.

B) "Place the bedside table at the foot of the bed.": This action can actually increase the risk of injury, as it makes it more difficult for the client to access necessary items, potentially leading to confusion and unsafe movements. Keeping essentials within easy reach can help prevent accidents.

C) "Keep the television on during the night.": While this may provide some comfort, it can also lead to confusion and disrupt sleep patterns for a client with dementia. A calm, quiet environment is generally more conducive to safety and well-being.

D) "Assist the client to the toilet frequently.": This is the most effective action to reduce the risk of injury. Regular assistance to the toilet helps prevent accidents and encourages toileting before the client feels an urgent need, which can lead to falls or confusion. Frequent checks can also help the client maintain dignity and comfort.

A. "Your child can return to school once the fever has subsided." B. "Your child can return to school once the lesions have crusted over." C. "Your child can return to school after a negative titer result." D. "Your child can return to school 24 hours after beginning antibiotics."

Correct Answer is B

Explanation

A) The statement about returning to school once the fever has subsided is not sufficient for varicella. Children should not return until the lesions have crusted over to prevent spreading the infection.

B) The recommendation that the child can return to school once the lesions have crusted over is accurate. Varicella is contagious from 1 to 2 days before the rash appears until all lesions have crusted over, which usually occurs about 6 days after the onset of the rash.

C) A negative titer result is not necessary for a child to return to school. Immunity can be confirmed through vaccination history or prior infection; thus, this statement is misleading.

D) Since varicella is a viral infection, antibiotics are not indicated for treatment. Therefore, stating that the child can return to school 24 hours after beginning antibiotics is incorrect and could lead to misunderstanding about the management of the illness.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is planning care for a client who is returning to the unit following open gastric bypass surgery. Which of the following interventions should the nurse include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a long-term care facility is admitting a client who has dementia. Which of the following actions should the nurse take to reduce the risk for client injury?

Correct Answer is D

Explanation

A nurse is providing teaching to a parent of a child who has varicella. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse has identified tasks to delegate to a group of assistive personnel (AP) after receiving change-of-shift report. Identify the sequence of steps the nurse should follow when delegating tasks to the APs. (Move the steps, placing them in the selected order of performance. Use all the steps.)

A nurse is preparing to administer PRN pain medication to a client who has cholelithiasis and is experiencing moderate abdominal pain. Which of the following medications should the nurse plan to administer?

A nurse is preparing to catheterize a toddler for a urine culture. Which of the following is an appropriate action for the nurse to take?

A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

A nurse in the emergency department is receiving report on a group of clients. Which of the following clients should the nurse assess first?

A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention?

A nurse is caring for a client who received 50,000 units of IV heparin rather than the prescribed 5,000 units. Which of the following actions should the nurse take first?

A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?