Which dietary advancement should be made first after the return of bowel sounds postoperatively?
Clear liquids
Soft diet
Regular diet
Full liquid diet
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. High-fiber foods are beneficial for bowel regularity and should not be decreased.
B. Excessive or chronic use of stimulant laxatives like bisacodyl can lead to electrolyte imbalances, dehydration, and dependence.
C. While rectal irritation is possible, electrolyte imbalance is the more significant risk.
D. Irregular bowel movements are common and not necessarily indicative of poor intestinal health.
Correct Answer is D
Explanation
Rationale:
A. Serum calcium levels are often decreased in acute pancreatitis due to fat saponification, not increased.
B. Serum lipase is typically elevated, not decreased, in acute pancreatitis, and is often more specific than amylase for pancreatic injury.
C. WBC count usually increases due to inflammation and possible infection; a decreased WBC is not expected.
D. Increased serum amylase is a hallmark laboratory finding in acute pancreatitis. Amylase is released from damaged pancreatic cells into the bloodstream. Levels typically rise within 6–12 hours of onset of symptoms and remain elevated for 3–5 days. Monitoring amylase, along with lipase (which remains elevated longer), helps confirm the diagnosis and assess the severity of pancreatic inflammation. Elevated amylase, in the context of abdominal pain radiating to the back, nausea, and vomiting, supports the provider’s suspicion of acute pancreatitis.
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