A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemicolectomy. Which of the following foods should the nurse instruct the client to avoid?

Choice A reason:

The statement “You will be fitted for your permanent prosthesis at the time of surgery” is incorrect. Typically, a temporary prosthesis is used initially after surgery. The permanent prosthesis is fitted later, once the residual limb has healed and any swelling has subsided. This process ensures a better fit and comfort for the client.

Choice B reason:

The statement “You will do muscle strengthening exercises in advance of getting your prosthesis” is correct. Muscle strengthening exercises are crucial for preparing the residual limb and the rest of the body for the use of a prosthesis. These exercises help improve balance, strength, and mobility, which are essential for successful prosthesis use.

Choice C reason:

The statement “The structure of the prosthesis will be adjustable depending on what shoe you are wearing” is incorrect. While some prostheses can accommodate different types of footwear, the structure of the prosthesis itself is not typically adjustable. Clients may need to have different prosthetic feet or adjustments made by a prosthetist to accommodate various shoes.

Choice D reason:

The statement “A special pressure dressing will remain in place even when your limb is healed to cushion your prosthesis” is incorrect. A special pressure dressing, also known as a compression dressing, is used initially after surgery to reduce swelling and shape the residual limb. Once the limb has healed, the dressing is no longer needed. The prosthesis itself will have a socket designed to fit the residual limb comfortably.

Choice A reason:

Restricting head movement is a crucial preoperative instruction for a client scheduled for retinal detachment surgery. This helps to prevent further detachment and ensures that the retina remains in the best possible position for surgery. Keeping the head still minimizes the risk of additional damage and helps maintain the current state of the retina.

Choice B reason:

Removing an eye patch in one month is not a standard preoperative instruction. Eye patches are typically used postoperatively to protect the eye and aid in healing. The duration for wearing an eye patch varies depending on the specific case and the surgeon’s recommendations.

Choice C reason:

Applying cool compresses is not a typical preoperative instruction for retinal detachment surgery. Cool compresses are generally used to reduce swelling and discomfort postoperatively. Preoperative care focuses more on stabilizing the condition and preparing the client for surgery.

Choice D reason:

Eye drops to constrict the pupils are not commonly prescribed preoperatively for retinal detachment surgery. Instead, eye drops to dilate the pupils are often used to allow the surgeon a better view of the retina during the procedure. Pupil constriction is not typically necessary before surgery.