Exhibits
The nurse is preparing to discharge the client. Which of the following statements by the client indicates an understanding of the discharge teaching? Select all that apply.
"I will eat fish for dinner at least twice per week."
“I will eat small, frequent meals."
“I will notify my provider if my urine is dark."
“I should expect my bowel movements to be pale in color."
“I will limit my morning coffee to no more than two cups."
Correct Answer : A,B,C
Rationale:
A. “I will eat fish for dinner at least twice per week.” Fish is a good source of lean protein and omega-3 fatty acids, which are heart-healthy and easier on the pancreas compared to fatty meats. This aligns with dietary recommendations for pancreatitis recovery.
B. “I will eat small, frequent meals.” Eating small, frequent meals reduces pancreatic stimulation and helps manage pain and nausea. It also supports better nutrient absorption and glucose control in clients with pancreatitis and hyperglycemia.
C. “I will notify my provider if my urine is dark.” Dark urine may indicate worsening liver dysfunction or bile obstruction, especially with elevated bilirubin levels. Prompt reporting can lead to early intervention.
D. “I should expect my bowel movements to be pale in color.” Pale stools may signal bile duct obstruction or malabsorption and are not a normal or expected finding. This should be reported rather than expected.
E. “I will limit my morning coffee to no more than two cups.” Caffeine can exacerbate gastrointestinal symptoms and may increase pancreatic irritation; it is usually recommended to limit or avoid coffee during pancreatitis recovery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. “Use an electric razor when shaving while taking this medication.” Warfarin increases bleeding risk by inhibiting vitamin K–dependent clotting factors. Using an electric razor reduces the chance of cuts and bleeding during shaving, making this a critical safety teaching point.
B. “This medication can cause back pain” Back pain is not a common or expected side effect of warfarin. If a client on warfarin experiences unexplained back pain, it should be evaluated as it could indicate internal bleeding, but it is not typical enough to be part of routine teaching.
C. "Take the last dose of the day 1 hour before bedtime” Warfarin is usually taken once daily, preferably at the same time, but timing in relation to bedtime is not required. The key is consistency and regular INR monitoring to guide dosing.
D. “Avoid taking the medication with milk products” Unlike some antibiotics, warfarin’s absorption is not significantly affected by dairy. Dietary consistency with vitamin K is more important than avoiding milk, and milk products are not contraindicated.
Correct Answer is A
Explanation
Rationale:
A. The client is tolerating clear liquids: After gastric banding, clients typically start with clear liquids within the first 24–48 hours. Tolerating clear liquids at 36 hours post-op is an expected and desired outcome that indicates gastrointestinal recovery and readiness to progress the diet gradually.
B. The client is voiding at least 250 mL/hr: This urine output is abnormally high and could indicate diuresis or overhydration. The expected minimum urine output is around 30 mL/hr, so this value exceeds normal expectations and is not typical postoperatively.
C. The client is maintaining bed rest: Early ambulation is encouraged after bariatric procedures to prevent complications such as deep vein thrombosis or pulmonary embolism. Prolonged bed rest is not expected or recommended.
D. The client is consuming 1,000 calories daily: At 36 hours post-op, clients are still on a very restricted intake—usually clear liquids or small sips—and would not be consuming 1,000 calories. This intake would be excessive and inappropriate at this stage of recovery.
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