Fundamentals Scenario: Marvin Hayes
Questions and Answers (100% Correct
Answers) Already Graded A+
The nurse is preparing discharge education for a
patient with a permanent colostomy. What
information concerning diet and nutrition will
the nurse include? (Select all that apply.) pg.
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1448-1450 Ans: Avoid high fiber foods for eight
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weeks after the surgery., Avoid foods that
previously caused diarrhea ., Gradually add new
Expert
foods into the diet., Drink at least two quarts of
water daily.
Rationale: During the first six to eight weeks
after surgery, encourage the patient to avoid
foods high in fiber, as well as any other foods
that cause diarrhea or excessive flatus. By
gradually adding new foods, the ostomy patient
can progress to a normal diet. Urge patients to
drink at least two quarts of fluids, preferably
water, daily. Patients with ileostomies need to be
aware they may experience a tendency to
develop food blockages
Which intervention takes priority when the nurse
determines that a postoperative patient has
, 2
hypoactive bowel sounds? pg. 964 Ans: Assess
the abdomen for signs of distention.
Rationale: When the auscultation of bowel
sounds determines that they are hypoactive, the
nurse will then assess the patient's abdomen for
distention. This can indicate the presence of a
possible paralytic ileus. The advancement of diet
would not be appropriate at this time. Notifying
© 2025 Assignment
the surgeon is premature and should occur if the
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assessment supports the presence of abdominal
distention. Hypotension has no relationship to
Expert
hypoactive bowel sounds in this situation.
Which statement by the nurse indicates a
thorough understanding of the purpose of
postoperative nursing care? pg. 960 Ans: The
goal is to ensure uneventful recovery from
surgery.
Rationale: Ongoing postoperative care is planned
to facilitate uneventful recovery from surgery
and the ability to cope with alterations. The plan
of care includes promoting physical and
psychological health, preventing complications,
and teaching self-care when the patient returns
home. The remaining options are all important
parts of postoperative care, but each provides
too narrow a description of postoperative care.