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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?

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

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.

Nursing Test Bank

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Correct Answer is C

Explanation

Rationale:
A. Decreased bilirubin is unrelated to digestion of blood in the GI tract.
B. Chloride levels do not indicate blood digestion.
C. When a client with esophageal varices bleeds into the GI tract, the digestion and absorption of blood proteins lead to increased nitrogen load, reflected as elevated BUN.
D. HbA1c reflects long-term blood glucose control, not acute digestion of blood.

Correct Answer is []

Explanation

Rationale:

Potential Condition: The client developed new onset of severe, frequent diarrhea after receiving IV antibiotics (cefazolin), along with fever, abdominal cramping, dehydration (dry mucous membranes), and hyperactive bowel sounds. These are hallmark features of Clostridioides difficile colitis.
Actions to Take:
- Contact precautions (gown and gloves) are essential to prevent transmission since C. difficile is highly contagious.
- IV fluids help correct dehydration and electrolyte losses caused by frequent diarrhea.
Parameters to Monitor:
- Serum potassium should be monitored because diarrhea causes large potassium losses, risking hypokalemia.
- Blood pressure should be tracked closely since dehydration and electrolyte loss can lead to hypotension and hemodynamic instability.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?

Correct Answer is C

Explanation

Correct Answer is []

Explanation

Which electrolyte imbalance is most likely indicated by a peaked T wave on an ECG?

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What is the primary reason for administering isotonic crystalloid IV fluids to a client with fluid volume deficit?

A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?

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A nurse is caring for a client who has a postoperative ileus and an NG tube that has drained 2,500 mL in the past 6 hr. Which of the following electrolyte imbalances should the nurse monitor the client for?

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 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?