A patient is postoperative from kidney transplant. What nutritional care is appropriate for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Begin the introduction of previously restricted foods.
2. Meet the demands of any existing hypermetabolic process.
3. Correct any preexisting deficiencies.
4. Provide necessary support to promote wound healing.
5. Restrict calories to prevent the postoperative weight gain common with this procedure.
1,2,3,4
Rationale 1: Patients undergoing renal or hepatic transplantation may have been on a restrictive diet that may be liberalized following surgery when organ function improves.
Rationale 2: This patient's postoperative recovery requires adequate nutrition to support the hypermetabolic demands of the surgery.
Rationale 3: This patient may have been maintained on a very restrictive diet that resulted in nutritional deficiencies. These deficiencies should be addressed postoperatively as kidney function improves.
Rationale 4: Adequate nutrition for wound healing is an essential component of postoperative care.
Rationale 5: Postoperative weight gain may be desirable for these patients, depending on their presurgical weight. Calories are necessary for healing and would not be restricted.
You might also like to view...
When developing a care plan for a mentally ill patient, what should the nurse assess first?
a. Coping strategies b. Emotional status c. Medications taken d. Nutritional status
The nurse assisting with a percutaneous liver biopsy assists the physician in positioning the patient at the completion of the procedure. The patient will be:
A) Positioned on his right side with a pillow under the costal margin B) Placed in a supine position C) Positioned on his left side with a pillow under his knees D) Placed in a Trendelenburg position
Conductive hearing loss is a result of all of the following changes except:
A) Decreased cerumen. B) Degeneration of the middle ear bones. C) Tympanic membrane thickening. D) Organ of Corti atrophy.
Which instruction does the nurse provide to auscultate the adult client's lungs effectively?
1. Take rapid shallow breaths. 2. Breathe with the mouth open. 3. Cough and take a deep breath. 4. Take a deep breath and hold it.