The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm. Which will be the best explanation for diet progression after surgery?
a. "Start with clear liquids, soup, and crackers. Advance to a normal diet as tolerated."
b. "Stay with ice chips for several hours. After that, you can have whatever you want."
c. "Stay on clear liquids for 24 hours. Then you can progress to a normal diet."
d. "Start with clear liquids for 2 hours and then full liquids for 2 hours. Then progress to a normal diet."
ANS: A
Patients usually receive a normal diet the first evening after surgery unless they have undergone surgery on GI structures. Implement diet intake while judging the patient's response. For example, provide clear liquids such as water, apple juice, broth, or tea after nausea subsides. If the patient tolerates liquids without nausea, advance the diet as ordered. There is no need to stay on ice chips for several hours or clear liquids for 24 hours after this procedure. Putting a time frame on the progression is too prescriptive. Progression should be adjusted for the patient's needs.
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