The second day post-operatively, the NG tube is removed and an order is written for fluids as tolerated and a liquid diet. The patient is eager to try taking fluids. What should the nurse recommend that he do?

Start with small sips of water at first to see if they are retained

Wait until his liquid diet tray arrives at mealtime

Take in a variety of fluids totaling 3000mls/day

Go ahead and drink all the water he wants

Answer and Explanation

The Correct Answer is A

A. Start with small sips of water at first to see if they are retained. Starting with small sips allows the digestive system to adjust gradually, reducing the risk of nausea, vomiting, or complications from overconsumption after surgery.

B. Wait until his liquid diet tray arrives at mealtime. The patient is eager to try fluids, and waiting for the full meal tray may unnecessarily delay the process of reintroducing fluids.

C. Take in a variety of fluids totaling 3000mls/day. The patient should not be expected to consume a large volume of fluid right away; fluid intake should be gradually increased as tolerated.

D. Go ahead and drink all the water he wants. Allowing the patient to drink freely can overwhelm the digestive system and may cause complications, such as nausea or vomiting.

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Correct Answer is B

Explanation

A. Recovery care: Recovery is a component of postoperative care, but it does not encompass all aspects of care after surgery.

B. Postoperative care: Postoperative care begins after the patient leaves the post-anesthesia care unit (PACU) and continues until full recovery, including wound healing, pain management, and preventing complications.

C. PACU care: PACU care is a phase within postoperative care but does not represent the complete postoperative period.

D. Perioperative care: Perioperative care refers to the entire surgical experience (before, during, and after surgery), not just the final phase of recovery.

A. Dry crust on the incision line B. Increased urine output C. Decreased level of consciousness D. Adventitious breath sounds E. Oral temperature of 38.3° C (101° F)

Correct Answer is ["C","E"]

Explanation

A. Dry crust on the incision line.
Dry crust on the incision line could indicate that the wound is healing well, but it is not typically a sign of infection. Infection is more commonly associated with redness, warmth, and drainage. A dry crust does not automatically suggest infection.

B. Increased urine output.
Increased urine output is generally a sign of good hydration or adequate kidney function, not an indication of infection. Infection would more likely present with a fever or abnormal wound appearance, not increased urine output.

C. Decreased level of consciousness.
A decreased level of consciousness can be a sign of sepsis, an infection that has spread throughout the body. This is a serious indicator of possible infection, especially if it is sudden or unexplained in the postoperative period.

D. Adventitious breath sounds.
Adventitious breath sounds could be a sign of a respiratory infection or complications such as pneumonia, but they are not necessarily linked to infection at the surgical site. If the sounds are related to infection, this could be a sign of a lower respiratory tract infection.

E. Oral temperature of 38.3° C (101° F).
An oral temperature of 38.3° C (101° F) is a fever, which is a classic sign of infection. Fever is a common early sign of infection in the postoperative period and should be promptly addressed to rule out surgical site infection or other complications.

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The second day post-operatively, the NG tube is removed and an order is written for fluids as tolerated and a liquid diet. The patient is eager to try taking fluids. What should the nurse recommend that he do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The four phases of surgical care are preoperative care, intraoperative care, post anesthesia care, and:

Correct Answer is B

Explanation

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

Correct Answer is ["C","E"]

Explanation

The second day post-operatively, the NG tube is removed and an order is written for fluids as tolerated and a liquid diet. The patient is eager to try taking fluids. What should the nurse recommend that he do?

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