chapter 30 perioperative prep u Top Solution Graded A+

Which of the following statements, if made by an adolescent preparing for abdominal surgery, would indicate to the nurse that the client requires additional instruction? a) "When I can eat again, the best meal would be steak and orange juice." b) "I can have a hamburger and French fries as soon as I wake up." c) "I might be sick to my stomach and throw up after surgery." d) "The better I eat before surgery, the more likely I will heal." "I can have a hamburger and French fries as soon as I wake up." Explanation: Oral fluid and food may be withheld until intestinal motility resumes 819 A patient had an open cholecystectomy (gall bladder removal) 36 hours earlier, and the nurse's assessment this morning confirms that the patient has not yet had a bowel movement since prior to surgery. How should the nurse best respond to this assessment finding? a) Administer a cleansing enema. b) Monitor the patient closely and promote fluid intake. c) Contact the physician to come assess the patient. d) Increase the rate of the patient's intravenous infusion. Monitor the patient closely and promote fluid intake.