Try Naxlex NCLEX-RN (Free-Trial)

A nurse is preparing to discharge a client from a surgical unit.

Exhibits
Which 3 dietary strategies should the nurse recommend to prevent post- operative complications for this client?

A.

Consuming large meals to increase calorie intake

B.

Starting with clear liquids and progressing to a regular diet

C.

Skipping meals to reduce nausea

D.

Eating fatty foods to provide energy

E.

Chewing gum to stimulate gastric secretions

F.

Ensuring adequate hydration

G.

Avoiding NSAIDs for 10 days following the procedure

Answer and Explanation

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.


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

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

Rationale:
A. Simply saline locking the IV catheter would interrupt the continuous infusion of nutrients, which can lead to hypoglycemia in clients receiving TPN.

B. Hanging only the IV fat emulsion is insufficient to meet the client’s total nutritional and caloric needs; it does not prevent hypoglycemia.

C. Calling the provider for new TPN orders is unnecessary if the original prescription is still valid; the priority is maintaining glucose levels until the TPN arrives.

D. If the TPN solution is unavailable, D₁₀W (10% dextrose in water) should be infused to prevent hypoglycemia, as TPN provides continuous glucose supply and abrupt discontinuation can cause dangerous drops in blood sugar.

Correct Answer is []

Explanation

Rationale:

  • Potential Condition: The client presents with jaundice, ascites, abdominal distention, confusion, and abnormal liver function tests (elevated AST, ALT, and bilirubin, with low albumin), consistent with cirrhosis and fluid volume excess.
  • Actions to Take:
    • Administer diuretics (such as spironolactone or furosemide) to reduce fluid retention and help manage ascites.
    • Monitor fluid intake and output to evaluate fluid balance and effectiveness of diuretic therapy.
  • Parameters to Monitor:
    • Blood pressure is important because hypotension is present and can worsen with fluid shifts and diuretic therapy.
    • Abdominal girth is monitored to track the progression or reduction of ascites.

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

Register