Evolve GI

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An older adult is returned to the surgical unit after having a subtotal gastrectomy. Which dietary modification should the nurse anticipate that the healthcare provider will most likely prescribe?

Resume small, easily digested feedings gradually

Which instruction should the nurse provide the client who is concerned about contracting amebic dysentery during foreign travel?

Drink only bottled water.

A client is instructed to avoid straining on defecation postoperatively. Which food item chosen by the client indicates successful learning?

Green vegetables

A nurse is caring for a client who just had a liver biopsy. After the procedure, the nurse should monitor for which common complication associated with the biopsy?

Hemorrhage

A nurse is caring for a client with Addison disease. Which dietary instruction should the nurse teach the client to follow?

Add extra salt to food

A client has surgery for an incarcerated hernia. The healthcare provider returns the incarcerated tissue to the abdominal cavity and uses a mesh to reinforce the muscle wall. What specific instructions should be included in the discharge instructions?

Avoid lifting heavy items.

A client is experiencing persistent vomiting, and serum electrolytes have been prescribed. The nurse should monitor which laboratory results?

Sodium and chloride levels

A nurse is obtaining a health history from a client with the diagnosis of peptic ulcer disease. Which client statement provides evidence to support the identification of a possible contributory factor?

"I smoke one pack of cigarettes a day."

An older client with diarrhea is admitted to the hospital from a nursing home. A stool specimen confirms a diagnosis of a methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse making room assignments asks if it is possible to place the new client with another client that also has MRSA in the same isolation room. How should the nurse respond?

"It is safe to place people with the same infection in one room."

The nurse understands that research demonstrates that malnutrition occurs in as many as 50% of hospitalized clients. The nurse should assess a postoperative client with anorexia for what sign of malnutrition?

Delayed wound healing

A client is admitted to the hospital with slight jaundice and reports of pain on the left side and back. A diagnosis of acute pancreatitis is made. Which common response to acute pancreatitis should the nurse monitor in the client?

Hypovolemia

After a subtotal gastrectomy for cancer of the stomach, a client develops dumping syndrome. The client says, "What does it mean when the healthcare provider says that I am experiencing dumping syndrome?" What information should the nurse include in a response to this question?

Rapid passage of concentrated fluid into the small intestine


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