The nurse is performing detailed patient education with a 40-year-old woman who will be soon discharged following a Roux-en-Y gastric bypass
The nurse and other members of the interdisciplinary team have been emphasizing the need for eating small amounts of food at a sitting and eating food slowly. What is the rationale for the nurse's advice?
A) Eating too quickly can cause gastric ulceration.
B) The cardiac sphincter is unable to dilate quickly after bariatric surgery.
C) Nausea and esophageal distention can result from eating too fast.
D) Eating quickly is associated with weight gain.
C
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A nurse takes a dinner tray to a patient who has been pacing and preoccupied. The patient suddenly places his butter knife against his throat and demands that everyone stay back
Which of the following considerations should be kept in mind in responding to this situation? Select all that apply. a. Maintaining and conveying a sense of calm confidence helps calm the patient. b. The patient will require restraint because he has presented a danger to self. c. In that the patient is not in control, the nurse should control what happens. d. Determine what the patient considers to be his need, to be important to him. e. Ask the patient for ideas about what he thinks would help resolve the crisis. f. Tell the patient that your goal is that everyone remains safe while you talk.
The nurse is developing a plan of care for the client. Which of the following statements explains the reason for this plan of care?
a. It directs the efforts of the entire health care team regarding each client. b. It directs the care of the nursing staff only. c. It includes input from the physician. d. It is started on the day of discharge.
A nurse is conducting a wellness seminar in which the cancer-fighting actions of diet and physical activity are presented. A woman in the audience says, "I thought diet and exercise were related to heart disease
" The best response by the nurse is a. "In people who don't smoke, diet and activity are the most important risk fac-tors." b. "They are important for both, but the diet to prevent cancer is totally different." c. "They are important for heart disease too, but cancer is a bigger killer." d. "You're right; diet and activity are more important to prevent heart disease."
Which assessment finding in a postoperative client indicates to the nurse that the interven-tions to prevent hypovolemia need to be re-evaluated?
A. The blood pressure changes from 136/80 to 122/80 mm Hg. B. The urine output decreases from 40 to 10 mL/hour. C. The client cannot count backward from 100 by threes. D. The client's temperature has changed from 100.2° to 100.4° F.