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 A
Explanation
Rationale:
A. A nasogastric (NG) tube is often used to decompress the stomach in conditions like pyloric obstruction. By removing accumulated gastric secretions and gas, it relieves pressure, nausea, and vomiting and prevents further distention.
B. While NG tubes can be used to administer medications, this is not the primary purpose in the treatment of a pyloric obstruction.
C. Supplying nutrients via tube feedings is typically done with a feeding tube, not for gastric decompression in obstruction.
D. Determining the pH of gastric secretions may be performed for diagnostic purposes, but it is not the main rationale for using an NG tube in this situation.
Correct Answer is B
Explanation
Rationale:
A. Clients with hepatitis often experience anorexia and nausea. Small, frequent meals are better tolerated than three large meals.
B. Carbohydrates are the primary source of calories in clients with hepatitis. They help spare protein and allow the liver to rest and heal. This is the recommended dietary intervention.
C. Protein should be limited in clients with severe hepatitis, especially if liver function is impaired, because excess protein can worsen encephalopathy.
D. Acetaminophen is hepatotoxic and should be avoided in clients with hepatitis due to the risk of further liver damage.
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