The nurse outlines nutritional needs for the patient with ...

[charchew]

The nurse outlines nutritional needs for the patient with multiple sclerosis (MS). Which dietary instruction(s) is/are most important for the nurse to emphasize? (Select all that apply.)
 
  a. Maintain fluid intake of at 1500 mL each day.
  b. Include intake of high-fiber foods in the diet.
  c. Include high intake of carbohydrates.
  d. Add supplemental calcium and vitamin D to the diet.
  e. Increase intake of high-fat foods.

Question 2

Following an outpatient procedure for which the patient received general anesthesia, which finding(s) indicate(s) to the nurse that the patient is ready to be discharged? (Select all that ap-ply.)
 
  a. The patient ambulates to the bathroom with minimal assistance.
  b. The patient cannot read and voice an un-derstanding of discharge instructions.
  c. The patient has been awake for 2 hours.
  d. The patient is able to empty the bladder.
  e. The patient plans to drive home.

[lin77x]

Answer to Question 1

A, B, D
Fluids and high fiber in the diet will prevent constipation, and calcium and vitamin D will help in preventing osteoporosis. High levels of carbohydrates and fats are not emphasized in the diet for an MS patient.

Answer to Question 2

A, D
The criteria for discharge from day surgery are the ability to ambulate unassisted and to empty the bladder. Following general anesthetic, a responsible person may receive the discharge in-structions and a written copy should be provided to the patient; being awake for 2 hours is not discharge criteria; and patients cannot drive any distance after general anesthesia.