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. This occurs when there is hypoventilation, leading to elevated PaCO2 and decreased pH. In this case, the PaCO2 is low (32 mm Hg) and the pH is high (7.48), so this is not consistent with respiratory acidosis.
B. The high pH (7.48) indicates alkalosis, and the low PaCO2 (32 mm Hg) shows that the alkalosis is caused by excessive exhalation of CO2, characteristic of respiratory alkalosis. The HCO3 is normal, indicating the kidneys have not yet compensated.
C. Metabolic acidosis is characterized by a low pH and low HCO3. Here, the pH is elevated and HCO3 is normal, so this is not consistent with metabolic acidosis.
D. Metabolic alkalosis would present with high pH and elevated HCO3, often due to vomiting or diuretic use. In this scenario, HCO3 is normal, indicating the alkalosis is not metabolic in origin.
Correct Answer is B
Explanation
Rationale:
A. Right upper quadrant contains the liver and gallbladder; pain here is more typical of hepatobiliary disorders, not appendicitis.
B. Right lower quadrant is the correct location of McBurney’s point, found one-third of the distance from the anterior superior iliac spine to the umbilicus. Tenderness here is a classic sign of appendicitis.
C. Left lower quadrant pain is commonly associated with conditions like diverticulitis, not appendicitis.
D. Left upper quadrant contains the stomach, spleen, and pancreas tail; pain here suggests disorders of those organs, not appendicitis.
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