What discharge teaching will the nurse provide to a patient who has gastric bypass surgery? Select all that apply.
Each of your meals should contain about 10 tablespoons of food.
You are likely to have little urine output for the first few weeks.
Report any back, shoulder, or abdominal pain to the surgeon.
Be certain to stay hydrated by drinking water.
Solid food can be introduced back into the diet in a week.
Correct Answer : A,C,D
Each of your meals should contain about 10 tablespoons of food: After gastric bypass surgery, the stomach's size is reduced, and the patient's capacity to consume large quantities of food is limited. It is important to educate the patient about appropriate portion sizes to avoid overeating and potential complications.
Be certain to stay hydrated by drinking water: Hydration is crucial after gastric bypass surgery. Patients should be advised to drink enough water throughout the day to prevent dehydration and ensure proper bodily function.
Solid food can be introduced back into the diet in a week: Following gastric bypass surgery, the diet is initially limited to liquid and pureed foods. Gradually, solid foods can be reintroduced into the diet over time, typically after a week or as directed by the surgeon. This information is important for the patient to understand the progression of their diet post-surgery. You are likely to have little urine output for the first few weeks: This statement is not true and may cause unnecessary concern for the patient. Urine output should not be affected by gastric bypass surgery unless there are other complications.
Report any back, shoulder, or abdominal pain to the surgeon: While it is important to report any significant pain or discomfort to the surgeon, including back, shoulder, or abdominal pain, this is not specific to discharge teaching for gastric bypass surgery. Pain management and reporting should be covered during the post-operative care instructions, but it is not limited to discharge teaching alone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The pH value of 7.5 indicates alkalosis, as it is above the normal range of 7.35-7.45. The elevated bicarbonate (HCO3-) level of 34 mmol/L suggests metabolic alkalosis, as it is higher than the normal range of 22-28 mmol/L. The PaCO2 level of 40 mm Hg falls within the normal range of 35-45 mm Hg.
In this case, the primary disturbance is metabolic alkalosis, which is likely caused by the persistent vomiting leading to excessive loss of gastric acid (hydrogen ions) and chloride ions from the stomach. This loss of acid and chloride results in an imbalance of electrolytes and an increase in bicarbonate levels, leading to metabolic alkalosis.
Since there is no significant deviation from the normal range in the PaCO2 level, the respiratory system has not effectively compensated for the metabolic alkalosis. Therefore, it is considered uncompensated.
Correct Answer is D
Explanation
To calculate the patient's body mass index (BMI), we need to divide the weight (in kilograms) by the square of the height (in meters). Let's convert the height and weight measurements to the appropriate units and perform the calculation:
Height: 5 feet, 6 inches = 5 + (6/12) = 5.5 feet = 1.6764 meters (rounded to four decimal places) Weight: 250 lb. = 113.3 kg
BMI = Weight (kg) / (Height (m))^2
BMI = 113.3 kg / (1.6764 m)^2
BMI ≈ 40.0
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