2021) COMPLETE SOLUTIONS
2. The patient is asking the nurse about the best way to stay healthy.
The nurse explains to the patient which teaching points? (Select all that
apply.)
a. Increase physical activity.
b. Keep total fat intake to 10% or less.
c. Maintain body weight in a healthy range.
d. Choose and prepare foods with little salt.
e. Increase intake of meat and other high-protein foods.
ANS: A, C, D
Recommendations include maintaining body weight in a healthy range;
increasing physical activity and decreasing sedentary activities; increasing
intake of fruits, vegetables, whole grain products, and fat-free or low-fat milk;
eating moderate amount of lean meats, poultry, and eggs; keeping fat intake
between 20% and 35% of total calories, with most fats coming from
polyunsaturated or monounsaturated fatty acids (most meats contain saturated
fatty acids); and choosing prepared foods with little salt while at the same
time eating potassium-rich foods.
3. When assessing patient with nutritional needs, which patients will
require follow-up from the nurse? (Select all that apply.)
a. A patient with infection taking tetracycline with milk
b. A patient with irritable bowel syndrome increasing fiber
c. A patient with diverticulitis following a high-fiber diet daily
d. A patient with an enteral feeding
and 500 mL of gastric residual A
patient with dysphagia being
referred to a speech-language
e. pathologist
ANS: A, C, D 1
The nurse should follow up with the tetracycline, diverticulitis, and enteral
,feeding. Tetracycline has decreased drug absorption with milk and antacids and
has decreased nutrient absorption of calcium from binding.
Nutritional treatment for diverticulitis includes a moderate- or low-residue diet
until the infection subsides. Afterward, prescribing a high-fiber diet for
chronic diverticula problems ensues. A patient with a gastric residual volume
of 500 mL needs to have the feeding withheld and reassessed for tolerance to
feedings. All the rest are normal and expected and do not require follow-up.
Patients manage irritable bowel syndrome by increasing fiber, reducing fat,
avoiding large meals, and avoiding lactose or sorbitol-containing foods for
susceptible individuals. Initiate consultation with a speech-language
pathologist for swallowing exercises and techniques to improve swallowing
and reduce risk of aspiration for a patient with dysphagia.
4. To honor cultural values of patients from different ethnic/religious
groups, which actions demonstrate culturally sensitive care by the
nurse? (Select all that apply.)
a. Allows fasting on Yom Kippur for a Jewish patient
b. Allows caffeine drinks for a Mormon patient
c. Serves no ham products to a Muslim patient
d. Serves kosher foods to a Christian patient
e. Serves no meat or fish to a Hindu patient
ANS: A, C, E
The Jewish religion fasts 24 hours on Yom Kippur and must adhere to kosher
food preparation methods. Hinduism requires no meats or fish. Muslims do not
eat pork. Mormons do not drink caffeinated or alcoholic drinks.
Chapter 50: Care of Surgical Patients
Potter et al.: Fundamentals of Nursing,
9th Edition MULTIPLE CHOICE
1. The nurse is caring for a surgical patient, when the family member
asks what perioperative nursing means. How should the nurse respond?
a. Perioperative nursing occurs in preadmission testing.
b. Perioperative nursing occurs primarily 2
in the postanesthesia care unit.
, Perioperative nursing includes activities
before, during, and after
c. surgery.
Perioperative nursing includes activities only during the surgical
d. procedure.
ANS: C
Perioperative nursing care occurs before, during, and after surgery.
Preadmission testing occurs before surgery and is considered preoperative.
Nursing care provided during the surgical procedure is considered
intraoperative, and in the postanesthesia care unit, it is considered
postoperative. All of these are parts of the perioperative phase, but each
individual phase does not explain the term completely.
2. The nurse is caring for a patient who is scheduled to undergo a surgical
procedure. The nurse is completing an assessment and reviews the patient’s
laboratory tests and allergies and prepares the patient for surgery. In which
perioperative nursing phase is the nurse working?
a. Perioperative
b. Preoperative
c. Intraoperative
d. Postoperative
ANS: B
Reviewing the patient’s laboratory tests and allergies is done before surgery in
the preoperative phase. Perioperative means before, during, and after surgery.
Intraoperative means during the surgical procedure in the operating suite;
postoperative means after the surgery and could occur in the postanesthesia
care unit, in the ambulatory surgical area, or on the hospital unit.
3. The nurse is caring for a patient in the postanesthesia care unit. The
patient has developed profuse bleeding from the surgical site, and the
surgeon has determined the need to return to the operative area. How will
the nurse classify this procedure?
a. Major
3
b. Urgent
c. Elective