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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.

More Questions from This Exam
Which instruction should the nurse delegate to an unlicensed assistive personnel (UAP)?

Answer Choices:

A. Bring a sterile chest drainage unit from central supply to the unit.
B. Call the pharmacy to obtain a client's next antibiotic dose.
C. Observe a client's gait to determine the need for assistance.
D. Evaluate a client's urinary catheter for proper drainage.
A female client with aphasia is trying to verbalize feelings to the nurse and states, "I want ...." but does not finish the statement. How should the nurse respond to this unfinished statement?

Answer Choices:

A. Allow the client time to complete her sentence.
B. Provide a list of phrases to express herself properly.
C. Pull up a chair and sit quietly with the client.
D. Offer the client to move to a quiet room first.
The unlicensed assistive personnel (UAP) reports that a client's blood pressure cannot be measured in the arms because the client has casts on both arms and is unable to be measured in the legs because the client is in the supine position. Which action should the nurse implement?

Answer Choices:

A. Demonstrate how to palpate the popliteal pulse with the client supine and the knee flexed.
B. Advise the UAP to document the last blood pressure obtained on the client's graphic sheet.
C. Estimate the blood pressure by assessing the pulse volume of the client's radial pulses.
D. Document why the blood pressure cannot be accurately measured at the present time.
From Exam
RN HESI Exit~2025 Exam 1

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
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