Nokea
A nurse is preparing to discharge a patient after recovery from gastric surgery. What is an appropriate discharge outcome for this patient?
- A. The patients bowel movements maintain a loose consistency.
- B. The patient is able to tolerate three large meals a day.
- C. The patient maintains or gains weight.
- D. The patient consumes a diet high in calcium.
Correct Answer: C
Rationale: Expected outcomes for the patient following gastric surgery include ensuring that the patient is maintaining or gaining weight (patient should be weighed daily), experiencing no excessive diarrhea, and tolerating six small meals a day. Patients may require vitamin B12 supplementation by the intramuscular route and do not require a diet excessively rich in calcium.
You may also like to solve these questions
A patient who is obese has been unable to lose weight successfully using lifestyle modifications and has mentioned the possibility of using weight-loss medications. What should the nurse teach the patient about pharmacologic interventions for the treatment of obesity?
- A. Weight loss drugs have many side effects, and most doctors think theyll all be off the market in a few years.
- B. There used to be a lot of hope that medications would help people lose weight, but its been shown to be mostly a placebo effect.
- C. Medications can be helpful, but few people achieve and maintain their desired weight loss with medications alone.
- D. Medications are rapidly become the preferred method of weight loss in people for whom diet and exercise have not worked.
Correct Answer: C
Rationale: Though antiobesity drugs help some patients lose weight, their use rarely results in loss of more than 10% of total body weight. Patients are consequently unlikely to attain their desired weight through medication alone. They are not predicted to disappear from the market and results are not attributed to a placebo effect.
A patient has recently received a diagnosis of gastric cancer and is awaiting a surgical date. During the preoperative period, the nurse should adopt what dietary guidelines?
- A. Eat small, frequent meals with high calorie and vitamin content.
- B. Eat frequent meals with an equal balance of fat, carbohydrates, and protein.
- C. Eat frequent, low-fat meals with high protein content.
- D. Try to maintain the pre-diagnosis pattern of eating.
Correct Answer: A
Rationale: The nurse encourages the patient to eat small, frequent portions of nonirritating foods to decrease gastric irritation. Food supplements should be high in calories, as well as vitamins A and C and iron, to enhance tissue repair.
A nurse caring for a patient who has had bariatric surgery is developing a teaching plan in anticipation of the patients discharge. Which of the following is essential to include?
- A. Drink a minimum of 12 ounces of fluid with each meal.
- B. Eat several small meals daily spaced at equal intervals.
- C. Choose foods that are high in simple carbohydrates.
- D. Sit upright when eating and for 30 minutes afterward.
Correct Answer: B
Rationale: Due to decreased stomach capacity, the patient must consume small meals at intervals to meet nutritional requirements while avoiding a feeling of fullness and complications such as dumping syndrome. The patient should not consume fluids with meals and low-Fowlers positioning is recommended during and after meals. Carbohydrates should be limited.
A patient has been admitted to the hospital after diagnostic imaging revealed the presence of a gastric outlet obstruction (GOO). What is the nurses priority intervention?
- A. Administration of antiemetics
- B. Insertion of an NG tube for decompression
- C. Infusion of hypotonic IV solution
- D. Administration of proton pump inhibitors as ordered
Correct Answer: B
Rationale: In treating the patient with gastric outlet obstruction, the first consideration is to insert an NG tube to decompress the stomach. This is a priority over fluid or medication administration.
A patient with a history of peptic ulcer disease has presented to the emergency department (ED) in distress. What assessment finding would lead the ED nurse to suspect that the patient has a perforated ulcer?
- A. The patient has abdominal bloating that developed rapidly.
- B. The patient has a rigid, boardlike abdomen that is tender.
- C. The patient is experiencing intense lower right quadrant pain.
- D. The patient is experiencing dizziness and confusion with no apparent hemodynamic changes.
Correct Answer: B
Rationale: An extremely tender and rigid (boardlike) abdomen is suggestive of a perforated ulcer. None of the other listed signs and symptoms is suggestive of a perforated ulcer.