Practice Question
A client who had bariatric surgery 2 months ago is admitted because of vomiting and inability to tolerate food and liquids. The client is pain free. Which intervention should the nurse include in the client's plan of care?
Answer Choices:
Correct Answer:
Maintain the client on an NPO status.
Rationale:
💠 NPO (nothing by mouth) status is necessary when a post-bariatric client presents with vomiting and intolerance to oral intake, as this may indicate gastric outlet obstruction, stomal stenosis, or early dumping syndrome. Holding oral intake prevents further gastric distention, aspiration risk, and irritation of the surgical site.
💠 Clients who have undergone bariatric surgery are vulnerable to mechanical and functional complications such as narrowing at the anastomosis site, necessitating temporary NPO status for evaluation.
💠 While nutritional support and psychological encouragement are crucial in the long term, the priority intervention is protecting the gastrointestinal tract and identifying the source of vomiting.
💠 The client being pain-free does not rule out obstruction or serious gastric dysfunction, hence fasting ensures safe stabilization until diagnostics are completed.
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This question is from RN HESI Exit~2025 Exam 1 which contains 89 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI-Exit Exam(s)
- Domain: HESI Exit Exam(s)~2025
- Answer Choices: 4