The nurse is providing preoperative teaching for the ambulatory surgery patient who will be having a cyst removed from the right arm. Which would be the best explanation for diet progression after surgery?
a. "Start with clear liquids, soup, and crackers. Advance to a normal diet as you tolerate."
b. "There is no limitation on your diet. 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, then full liquids for 2 hours. Then progress to a normal diet."
A
The type of surgery that patients undergo determines how quickly they can resume normal physical activity and regular eating habits. It is normal to progress gradually in activity and eating, and if the patient tolerates activity and diet well, he/she can progress more quickly. A common complication after surgery is nausea and vomiting. This can be caused by the anesthesia, fluid imbalance from being NPO, and pain. The gastrointestinal tract may be hypoactive owing to anesthesia. It is best to start with a clear liquid to see if the patient can tolerate the liquid without vomiting. If so, progressing to soup and crackers and advancing as the patient tolerates is appropriate. Starting with a heavy, greasy meal could cause nausea and vomiting. There is no need to stay on 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.
You might also like to view...
The nurse is caring for a patient with an advanced stage of breast cancer and the patient has recently learned that her cancer has metastasized
The nurse enters the room and finds the patient struggling to breath and the nurse's rapid assessment reveals that the patient's jugular veins are distended. The nurse should suspect the development of what oncologic emergency? A) Increased intracranial pressure B) Superior vena cava syndrome (SVCS) C) Spinal cord compression D) Metastatic tumor of the neck
Recommendations for creating a supportive atmosphere during withdrawal discussions include
a. telling the family when and where the procedure will occur. b. beginning the conversation by inquiring about the emotional state of the family. c. ending the conversation by inquiring about the emotional state of the family. d. recommendations that the family not be present when the procedure occurs.
Sweat glands, hair, and nails are all formed from:
a. basement membranes under cellular strata. b. closely packed squamous cells. c. invaginations of epidermis into dermis. d. papillae that penetrate the epidermis.
A public health department is looking to attract health-care providers to open a clinic in their rural community, where there is desperate need for primary care providers. Which of the following benefits should be listed in the job posting?
A. Brand new housing B. Description of community events and culture C. Guarantee of employment for family members D. All of the above