The nurse is providing care for a patient who is one day postoperative from a Roux-en-Y surgical procedure. The nurse notices that the patient has received a lunch tray.Which of the following food items would be concerning to the nurse?

Strawberry yogurt

Chicken broth

Apple juice

Iced tea

Answer and Explanation

The Correct Answer is A

Choice A rationale
After a Roux-en-Y surgical procedure, patients are typically put on a liquid-only diet for the first week or two after surgery. Over the next month, they are able to add soft food and eventually regular food back into their diet. Given that the patient is only one day postoperative, the consumption of solid foods like strawberry yogurt could potentially lead to

complications such as dumping syndrome, which is a group of symptoms that includes vomiting, nausea, and dizziness. It occurs when food moves from your stomach into your small intestine too quickly.
Choice B rationale
Chicken broth is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Choice C rationale
Apple juice is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.
Choice D rationale
Iced tea is a clear liquid and is generally considered safe for a patient who is one day postoperative from a Roux-en-Y surgical procedure. It is easily digestible and does not put undue stress on the digestive system.

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Correct Answer is C

Explanation

Choice A rationale
Valerian is a herb that is commonly used for sleep disorders and anxiety. It is not typically used to treat diarrhea, irritable bowel syndrome (IBS), or ulcerative colitis.
Choice B rationale
Garlic is known for its antibacterial, antiviral, and antifungal properties. However, it is not commonly used to treat diarrhea, IBS, or ulcerative colitis.
Choice C rationale
Probiotics are live bacteria and yeasts that are good for your health, especially your digestive system. They are often used to treat problems in the stomach and intestines, including IBS and certain types of diarrhea.
Choice D rationale
Ginger root is commonly used to treat various types of stomach problems, including motion sickness, morning sickness, colic, upset stomach, gas, and more. However, it is not typically used to treat diarrhea, IBS, or ulcerative colitis.

A. Intestinal obstruction. B. Fluid and electrolyte imbalance. C. Malabsorption of fat. D. Folate deficiency.

Correct Answer is B

Explanation

Choice A rationale
While intestinal obstruction can occur after any abdominal surgery, it is not the most common complication following ileostomy creation.
Choice B rationale
Fluid and electrolyte imbalance is a common complication following ileostomy surgery. This is due to the fact that the ileum, which is now rerouted to an external opening in the abdominal wall, is responsible for absorbing a significant amount of fluid and electrolytes. When it is diverted, these substances can be lost, leading to imbalances.
Choice C rationale
Malabsorption of fat is not typically a primary concern following ileostomy surgery. While malabsorption can occur in diseases affecting the ileum, it is not a direct result of the surgery itself.
Choice D rationale
Folate deficiency is not a common complication following ileostomy surgery. The terminal ileum, which is typically used to create the ileostomy, is primarily responsible for the absorption of vitamin B12, not folate.

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The nurse is providing care for a patient who is one day postoperative from a Roux-en-Y surgical procedure. The nurse notices that the patient has received a lunch tray.Which of the following food items would be concerning to the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a presentation for colleagues about various herbal remedies that patients might use. Which herbal supplement might patients use to treat diarrhea, irritable bowel syndrome (IBS), and ulcerative colitis?

Correct Answer is C

Explanation

A patient with Crohn’s disease has recently undergone surgery to create an ileostomy. For which common complication of this type of surgery should the nurse monitor the patient in the postoperative period?

Correct Answer is B

Explanation

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