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."

Answer and Explanation

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.

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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.

A. Carbamazepine B. Lorazepam C. Clonazepam D. Lamotrigine

Correct Answer is B

Explanation

Rationale:

A. Carbamazepine: Carbamazepine is an anticonvulsant used for long-term seizure control and prevention, particularly for focal seizures. It is not effective for rapid seizure termination during status epilepticus.

B. Lorazepam: Lorazepam is a benzodiazepine commonly used as the first-line treatment for status epilepticus due to its rapid onset and effectiveness in stopping prolonged seizure activity. It can be administered IV for immediate action.

C. Clonazepam: Clonazepam is a long-acting benzodiazepine used for seizure management but not typically used to treat status epilepticus due to its slower onset of action compared to lorazepam or diazepam.

D. Lamotrigine: Lamotrigine is used as a maintenance medication to prevent seizures, particularly in generalized and focal epilepsy. It is not appropriate for emergency treatment of active seizure episodes like status epilepticus.

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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.

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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.