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."
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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Related Questions
Correct Answer is ["D","F"]
Explanation
A. Orange juice: Orange juice is a good source of vitamin C and can contribute to overall nutritional intake. However, it is not specifically indicated based on the laboratory results provided.
B. Carrots: Carrots are rich in beta-carotene, which is a precursor to vitamin A. While they are generally nutritious, they are not specifically indicated based on the laboratory results provided.
C. Almonds: Almonds are a good source of magnesium, which can help if the client is experiencing a deficiency, as indicated by the slightly low magnesium level in the laboratory results.
D. Eggs: Eggs, particularly the yolks, also contain this essential nutrient. Including these foods in the client's diet can help improve their vitamin D levels and overall health.
E. Brussels sprouts: Brussels sprouts are a good source of vitamin C and other nutrients, but they are not specifically indicated based on the laboratory results provided.
F. Salmon: Salmon is a good source of vitamin D, which can help address a deficiency if present, as indicated by the low level of total 25-hydroxy D in the laboratory results.
Correct Answer is ["A","B","C","D"]
Explanation
- Uneaten meals suggest that the client is not consuming the food provided, which can lead to inadequate intake of nutrients and calories, thus indicating possible malnutrition.
- A wound that won't heal can be a sign of malnutrition, as proper nutrition is essential for wound healing and maintenance of skin integrity.
- Rough and dry skin can be indicative of malnutrition, particularly if there is a deficiency in essential fatty acids and other nutrients that maintain skin health.
- Edema to the face and lower extremities can be a sign of protein-energy malnutrition, where the body does not get enough protein to maintain plasma oncotic pressure, leading to fluid accumulation in tissues.
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