A middle-aged patient with a history of type 1 diabetes is having ...

[D2AR0N]

A middle-aged patient with a history of type 1 diabetes is having a transmetatarsal amputation performed because a diabetic ulcer on his foot has failed to heal and threatens to develop into osteomyelitis.
 
  The OR nurse who is participating in the procedure recognizes the fact that the patient is at risk of hypothermia in the intraoperative period. How can the nurse best minimize this risk?
  A) Ensure that the surgical team maintains the room at a constant 28C (82F).
  B) Minimize the amount of IV fluids that are administered to the patient.
  C) Remove wet gowns and drapes from the patient as soon as possible.
  D) Encouraging physical activity before the administration of preanesthetics.

Question 2

An older patient asks the nurse what he can about nausea that occurs after eating because of delayed gastric emptying. What advice should the nurse provide to the patient?
 
  A) Changing to a vegetarian, organic diet
  B) Limiting food intake and taking antacids regularly
  C) Increasing the amount of soluble and insoluble fiber in his diet
  D) Eating several small meals throughout the day rather than three larger ones

[Ashley I]

Answer to Question 1

C

Answer to Question 2

D
Feedback:
More frequent intake of smaller amounts of food is noted to be useful in the management of slow gastric emptying. A vegetarian diet and increasing fiber intake are not known to be effective management techniques for delayed gastric emptying. Limiting food and using antacids predisposes the patient to other risks.

[D2AR0N]

TYSM

[Alyson.hiatt@yahoo.com]

Gracias!