Which dietary instruction is most important for the nurse to explain to a client who has had gastric bypass surgery?
Sip fluids with each meal.
Reduce intake of fatty foods.
Eat small frequent meals.
Chew slowly and thoroughly.
The Correct Answer is C
A. While sipping fluids with meals can help prevent discomfort, it is generally recommended to avoid drinking fluids during meals to minimize the risk of overfilling the stomach.
B. Reducing intake of fatty foods is important, but it is not as critical as managing portion sizes and meal frequency after gastric bypass surgery.
C. Eating small frequent meals is crucial after gastric bypass surgery because it helps manage the reduced stomach capacity and promotes better nutrient absorption while preventing dumping syndrome and discomfort.
D. Chewing slowly and thoroughly is a good practice to aid digestion, but it is not as essential as the need for portion control and meal frequency following the surgery.
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Correct Answer is A
Explanation
A. Administering opioid and non-opioid medications together is an effective pain management strategy for severe pain. This approach can provide better pain relief by targeting different pain pathways and may reduce the total dosage of opioids needed, thus minimizing side effects.
B. Alternating IV and IM analgesic medications is not the best approach; instead, consistent pain management is necessary to keep pain levels under control.
C. Waiting until the pain score reaches 10 before administering the maximum dosage is inappropriate and could lead to inadequate pain control. Pain management should be proactive, not reactive.
D. While educating the client on narcotic dependency is important, it is not the priority intervention in this acute situation where pain control is essential. The immediate focus should be on effective pain relief.
Correct Answer is B
Explanation
A. Avoiding frequent eye pressure measurements is not advisable; monitoring eye pressure is crucial in managing glaucoma.
B. Maintaining the prescribed eye drop regimen is the most important instruction because consistent use of these medications is critical to managing intraocular pressure and preventing vision loss associated with glaucoma.
C. While wearing prescription glasses can assist with vision, it does not address the underlying condition of glaucoma.
D. Eating a diet high in carotene is beneficial for overall eye health but does not directly impact the management of glaucoma. Regular use of prescribed eye drops is essential to prevent further damage to the optic nerve and potential blindness.