Which dietary advancement should be made first after the return of bowel sounds postoperatively?

Clear liquids

Soft diet

Regular diet

Full liquid diet

Answer and Explanation

The Correct Answer is A

Rationale:
A. After the return of bowel sounds postoperatively, clear liquids (e.g., water, broth, tea, clear juice) are introduced first. This allows the gastrointestinal tract to gradually resume function and ensures the client can tolerate fluids without nausea, vomiting, or distention.

B. A soft diet is introduced later once the client tolerates clear liquids and then full liquids, as it is more complex to digest.

C. A regular diet is not started immediately after surgery; the gut needs gradual reintroduction to food.

D. Full liquids can be given after clear liquids are tolerated, as they are more substantial and include milk-based or blended foods.

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Correct Answer is D

Explanation

Rationale:
A. Percutaneous Transhepatic Cholangiography (PTC) involves inserting a needle through the skin into the liver to visualize bile ducts, not using endoscopy.
B. Endoscopic Ultrasound (EUS) uses an endoscope with ultrasound to image structures near the GI tract but does not combine with radiographic imaging of the ducts.
C. Magnetic Resonance Cholangiopancreatography (MRCP) uses MRI to noninvasively visualize bile and pancreatic ducts, without endoscopy.
D. Endoscopic Retrograde Cholangiopancreatography (ERCP) combines endoscopy with radiographic imaging to examine the bile and pancreatic ducts, allowing both diagnosis and therapeutic interventions.

A. "The laxative makes the barium turn brown." B. "The laxative helps eliminate the barium." C. "The laxative will prevent the absorption of magnesium." D. "The laxative is the protocol at this facility."

Correct Answer is B

Explanation

Rationale:
A. The color change of stool is not the purpose of the laxative.
B. A laxative is necessary to help eliminate barium from the gastrointestinal tract, preventing constipation or impaction.
C. The laxative is not used to prevent magnesium absorption; this is unrelated to a barium study.
D. While facilities have protocols, the explanation should focus on patient safety and the purpose of the intervention, not just policy.

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Which dietary advancement should be made first after the return of bowel sounds postoperatively?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which imaging technique uses endoscopy combined with radiographic images to examine the bile and pancreatic ducts?

Correct Answer is D

Explanation

A client who is scheduled for a barium swallow asks the nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How should the nurse interpret the following arterial blood gas results: pH 7.48, PaO2 85 mm Hg. PaCO2 32 mm Hg, and HCO3 25 mEq/L?

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