A nurse is preparing to discharge a client from a surgical unit.
Consuming large meals to increase calorie intake
Starting with clear liquids and progressing to a regular diet
Skipping meals to reduce nausea
Eating fatty foods to provide energy
Chewing gum to stimulate gastric secretions
Ensuring adequate hydration
Avoiding NSAIDs for 10 days following the procedure
Correct Answer : B,E,F
Rationale:
A. Large meals can increase nausea and discomfort postoperatively. Small, frequent meals are recommended.
B. Gradually advancing from clear liquids to solid foods helps prevent nausea, vomiting, and gastrointestinal complications while allowing the digestive system to adjust.
C. Skipping meals can lead to malnutrition and delayed recovery.
D. High-fat foods are harder to digest and can exacerbate nausea and abdominal discomfort.
E. Gum chewing promotes bowel motility and can reduce the risk of postoperative ileus.
F. Maintaining fluid balance prevents constipation, dehydration, and electrolyte imbalances, supporting recovery.
G. While this may be important depending on the surgical site, it is not a dietary strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Epigastrium refers to the upper central region of the abdomen, just below the sternum; Cullen’s sign does not appear here.
B. Umbilical region (around the navel) is where Cullen’s sign appears as a bluish discoloration due to subcutaneous fat necrosis or retroperitoneal bleeding associated with acute pancreatitis. This is the correct site.
C. Flank discoloration is known as Grey Turner’s sign, another indicator of retroperitoneal bleeding, but distinct from Cullen’s sign.
D. Subumbilical refers to the area below the umbilicus, not the typical site for Cullen’s sign.
Correct Answer is D
Explanation
Rationale:
A. A CBC may show leukocytosis but is not diagnostic for pancreatitis.
B. AST/ALT may be elevated if biliary obstruction is present, but they are not specific for pancreatitis.
C. Blood glucose may rise in pancreatitis due to impaired insulin release, but it is not diagnostic.
D. Amylase and lipase levels are the primary diagnostic lab tests for acute pancreatitis, with lipase being more specific and remaining elevated longer.
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