A nurse is providing discharge teaching to a client who is 2 days postoperative following a gastric bypass. Which of the following client statements indicates an understanding of the teaching?

"My meals should eventually include 1/2 cup of raw celery and tomatoes."

"I should drink at least 100 ounces of fluids per day."

"My meals should consist of liquids or pureed foods for the first 5 weeks."

“I should have 2 ounces of protein three times per day."

Answer and Explanation

The Correct Answer is C

A.   Raw celery and tomatoes are not recommended in the early postoperative period following gastric bypass surgery due to their high fiber content, which may be difficult to tolerate.
B.   Drinking at least 100 ounces of fluids per day may be excessive and can increase the risk of complications such as dumping syndrome in the early postoperative period following gastric bypass surgery. Fluid intake should be carefully monitored and follow the healthcare provider's recommendations.
C.   Consuming liquids or pureed foods in the early postoperative period following gastric bypass surgery allows the gastrointestinal tract time to heal and adjust to the changes from the surgery. This statement indicates an understanding of the appropriate dietary progression after surgery.

D.   The amount of protein intake may vary depending on individual factors and should be guided by the healthcare provider's recommendations. However, focusing solely on protein intake does not address the need for a gradual dietary progression in the early postoperative period.

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Correct Answer is C

Explanation

A. Urine output of 25 mL/hr may indicate inadequate renal perfusion or ongoing dehydration, which is not indicative of effective treatment for hypernatremia.
B. Fatigue is a nonspecific finding and does not specifically indicate the effectiveness of treatment for hypernatremia.
C. A firm grip bilaterally suggests adequate hydration and electrolyte balance, which would indicate effective treatment for hypernatremia.
D. Weight gain may occur with fluid retention, which could indicate overhydration rather than effective treatment for hypernatremia.

A. Skin breakdown B. Hypertension C. Tachycardia D. Kidney stones

Correct Answer is A

Explanation

A. Vitamin C deficiency, also known as scurvy, can lead to impaired collagen synthesis, which is essential for maintaining the integrity of connective tissues, including the skin. Without an adequate supply of vitamin C, the skin becomes fragile and prone to breakdown, leading to the development of ulcers and wounds.

B. Hypertension is not directly associated with vitamin C deficiency. However, vitamin C deficiency may indirectly contribute to hypertension due to its role in maintaining blood vessel health and endothelial function.
C. Tachycardia is not directly associated with vitamin C deficiency. However, severe vitamin C deficiency (scurvy) can lead to fatigue and weakness, which may result in an increased heart rate as the body tries to compensate for reduced oxygen delivery to tissues.
D. Kidney stones are not typically associated with vitamin C deficiency. However, excessive intake of vitamin C supplements may increase the risk of kidney stone formation in susceptible individuals due to the conversion of vitamin C into oxalate, which can contribute to stone formation.

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A nurse is providing discharge teaching to a client who is 2 days postoperative following a gastric bypass. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

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