The client planning to undergo bariatric surgery is discussing postoperative care with the nurse. Which of the following statements indicates that learning goals have been met?
1. "I will need to take daily vitamin and mineral supplements.".
2. "I will initially take in only liquids, such as low-sugar juices.".
3. "The foods I am allowed to eat gradually will be increased.".
4. "Maintaining protein intake will be a priority in my recovery diet.".
2. "I will initially take in only liquids, such as low-sugar juices.".
Rationale:
Liquids are initially the only intake allowed after bariatric surgery. Sugary beverages and fruit juices with added sugar should be avoided as these products can promote dumping syndrome.
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A client states that he is unhappy in his marriage and has felt miserable for several years. Which of the following client responses would indicate that the nurse's response to the "theme" of marital distress was most effective?
1. "I guess you're right; I should start thinking about a divorce." 2. "I feel so depressed all the time. I don't know what to do or who to turn to." 3. "I never thought about her cheating on me before; do you think that's possible?" 4. "I guess we've stayed together all these years because of the children."
A client is to receive a vaccine for measles. The vaccine includes antigens that, when added to the body, create an antibody response. This is an example of _____ immunity
a. acquired active b. acquired passive c. natural active d. natural passive
The patient is receiving risperidone (Risperdal). During morning assessment, the nurse notes that the patient has a temperature of 102 degrees F. What is the priority nursing intervention?
1. Contact the physician, as this could be a symptom of neuroleptic malignant syndrome. 2. Contact the physician, as this could be a symptom of an acute urinary infection. 3. Contact the physician, as this could be a symptom of a bacterial pneumonia. 4. Contact the physician, as this could be a symptom of extrapyramidal side effects.
Which information should the nurse include in the teaching for the parent of a child with head lice?
A. "Cutting your child's hair will make it easier to treat." B. "Your child should be fine now just watch your child for a reinfection." C. "Dispose of all the bedding in a sealed plastic bag." D. "Remove all nits from the hair shaft with a nit comb or a fine-tooth comb."