Periop 8

1. Minimally invasive surgery is very much into technology. Aside from the usual surgical team
who else to be present when a client undergoes laparoscopic surgery?

Electrician
Information technician
Laboratory technician
Biomedical technician

2. Situation 2 – You are assigned in the Orthopedic Ward where clients are complaining of pain
in varying degrees upon movement of body parts. Troy is a one day post open reduction and
internal fixation (ORIF) of the left hip and is in pain. Which of the following observation
would prompt you to call the doctor?

Left leg in limited functional anatomic position

BP 114/78, pulse of 82 beats/minute
Dressing is intact but partially soiled
Left foot is cold to touch and pedal pulse is absent

3. In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is given. What is
your nursing priority care in such a case?

Assess respiratory rate carefully

Administer analgesia through epidural catheter as prescribed
Instruct client to observe strict bed rest
Check for epidural catheter drainage

4. Situation 1 – Concerted work efforts among members of the surgical team is essential to the
success of the surgical procedure. The sterile nurse or sterile personnel touch only sterile
supplies and instruments. When there is a need for sterile supply which is not in the sterile
field, who hands out these items by opening its outer cover?

Anesthesiologist
Surgeon
Circulating nurse
Nursing aide

5. In massive blood loss, prompt replacement of compatible blood is crucial. What department
needs to be alerted to coordinate closely with the patient’s family for immediate blood
component therapy?

Security Division
Chaplaincy
Social Service Section
Pathology department
6. Disposal of medical records in government hospitals/institutions must be done in close
coordination with what agency?

Records Management Archives Office (RMAO)

Metro Manila Development Authority (MMDA)
Depart of Health (DOH)
Department of Interior and Local Government (DILG)

7. OR nurses should be aware that maintaining the client’s safety is the overall goal of nursing
care during the intraoperative phase. As the circulating nurse, you make certain that
throughout the procedure…

Client is monitored throughout the surgery by the assistant anesthesiologist

The surgeon greets his client before induction of anesthesia
strap made of strong non-abrasive material are fastened securely around the joints of the knees
and ankles and around the 2 hands around an arm board
The surgeon and anesthesiologist are in tandem

8. Pain in Ortho cases may not be mainly due to the surgery. There might be other factors such
as cultural or psychological that influence pain. How can you alter these factors as the nurse?

Stay with the client during pain episodes

Establish trusting relationship by giving his medication on time
Explain all the possible interventions that may cause the client to worry.
Promote client’s sense of control and participation in pain control by listening to his concerns

9. The OR team performs distinct roles for one surgical procedure to be accomplished within a
prescribed time frame and deliver a standard patient outcome. White the surgeon performs
the surgical procedure, who monitors the status of the client like urine output, blood loss? ✖

Surgeon
Scrub nurse
Anesthesiologist
Circulating nurse

10. You readmitted a client who was in another department a month ago. Since you will need the
previous chart, from whom do you request the old chart?

Medical records section

Central supply section
Department where the patient was previously admitted
Previous doctor’s clinic
11. Situation 3 – Records are vital tools in any institution and should be properly maintained for
specific use and time. The patient’s medical record can work as a double-edged swords.
When can the medical record become the doctor’s/nurse worst enemy?

When a medical record is subpoenaed in court

When the medical record is inaccurate, incomplete, and inadequate
When it is missing - Given
When the record is voluminous

12. Situation 4 – In the OR, there are safety protocols that should be followed. The OR nurse
should be well versed with all these to safeguard the safety and quality to patient delivery
outcome. Which of the following should be given highest priority when receiving patient in
the OR?

Check for jewelry, gown, manicure and dentures

Assess level of consciousness
Assess vital signs
Verify patient identification and informed consent

13. Records Management and Archives Offices of the DOH is responsible for implementing its
policies on record, disposal. You know that your institution is covered by this policy it;

Your hospital is considered tertiary

Your hospital is in Metro Manila
It obtained permit to operate from DOH
Your hospital is Philhealth accredited

14. Another nursing check that should not be missed before the induction of general anesthesia
is:

Check baseline vital signs

Check for presence dentures
Check patient’s blood studies
Check for presence underwear

15. There is an order of Demerol 50 mg I.M. now and every 6 hours p r n. You injected Demerol
at 5 pm. The next dose of Demerol 50 mg I.M. is given:

When the patient is in severe pain

At 11pm
When the client asks for the next dose
At 12pm

16. Surgery schedules are communicated to the OR usually a day prior to the procedure by the
nurse of the floor or ward where the patient is confined. For orthopedic cases, what
department is usually informed to be present in the OR?
Maintenance department
Laboratory department
Radiology department
Rehabilitation department

17. You continuously evaluate the client’s adaptation to pain. Which of the following behaviors-
indicate appropriate adaptation?

The client denies existence of pain

The client reports pain reduction and decreased activity
The client can distract himself during pain episodes
The client reports independence from watchers

18. In the hospital, when you need-the medical record of a discharged patient for research, you
will request permission through:

Medical records section

Doctor in charge
The hospital director
The nursing Service

19. Some different habits and hobbies affect postoperative respiratory function. If your client
smokes 3 packs of cigarettes a day for the part 10 years, you will anticipate increased risk
for:

Perioperative anxiety and stress

Delayed wound healing
Delayed coagulation time
Postoperative respiratory dysfunction

20. Surgeries like I and D (incision and drainage) and debridement are relatively short
procedures but considered ‘dirty cases’. When are these; procedures best scheduled?

According to availability of anesthesiologist

According to the surgeon’s preference
Last case
In between cases

21. Situation 7 – Joint Commission on Accreditation of Hospital Organization (JCAHO) patient

safety goals and requirements include the care and efficient use of technology in the OR arid
elsewhere in the healthcare facility. As the head nurse in the OR, how can you improve the
effectiveness of clinical alarm systems?

Adherence to manufacturer’s recommendation

Implement a regular maintenance and testing of alarm systems
Implement a regular inventory of supplies and equipment
Limit suppliers to a few so that quality is maintained

22. As a nurse you know you can improve on accuracy of patient’s identification by 2 patient
identifiers, EXCEPT:

Call the patient by his/her name and bed number

Identify the client by his/her wrist tag and verify with family members
Call the client by his/her case and bed number
Identify client by his/her wrist tag and call his/her by name

23. While team effort is needed in the OR for efficient and quality patient care delivery, we
should limit the number of people in the room for infection control. Who comprise this team?

Surgeon, anesthesiologist, scrub nurse, radiologist, orderly

Surgeon, assistant surgeon, anesthesiologist, intern, scrub nurse
Surgeon, assistants, scrub nurse, circulating nurse, anesthesiologist
Surgeon, assistant surgeon, anesthesiologist, scrub nurse, pathologist

24. As a perioperative nurse, how can you best meet the safety need of the client after
administering preoperative narcotic?

Send the client to ORD with the family

Obtain consent form
Put side rails up and ask client not to get out of bed
Allow client to get up to go to the comfort room

25. In the OR, the nursing tandem for every surgery is:

Scrub nurse and nurse anesthetist

Instrument technician and circulating nurse
Nurse anesthetist, nurse assistant, and instrument technician
Scrub and circulating nurses

26. Which of the following nursing intervention is done when examining the incision wound and
changing the dressing?

Get patient’s consent

Wash hands
Request the client to expose the incision wound
Observe the dressing and type and odor of drainage if any

27. It is also the nurse’s function to determine when infection is developing in the surgical
incision. The perioperative nurse should observe for what signs of impending infection?

Blood clots and scar tissue are visible

Serosanguinous exudates and skin blanching
Localized heat and redness
Separation of the incision

28. Situation 8 – Team efforts is best demonstrated in the OR If you are the nurse in charge for
scheduling surgical cases, what important information do you need to ask the surgeon?

Who are your anesthesiologist, internist, and assistant

Who is your internist
Who is your anesthesiologist.
Who is your assistant and anesthesiologist, and what is your preferred time and type of surgery?

29. You identified a potential risk of pre and postoperative clients. To reduce the risk of patient
harm resulting from fall, you can implement the following EXCEPT:

Take action to address any identified risks through Incident Report (IR)
Allow client to walk with relative to the OF?
Assess and periodically reassess individual client’s risk for falling - Given
Assess potential risk of fail associated with the patient’s the following EXCEPT: medication
regimen

30. Situation 6 – Carlo, 16 years old, comes to the ER with acute asthmatic attack. RR is 46/min
and he appears to be in acute respiratory distress. Which of the following nursing actions
should be initiated first?

Administer bronchodilator by nebulizer

Administer oxygen at 6L/min
Promote emotional support
Suction the client every 30 min

31. It is the responsibility of the pre-op, nurse to do skin prep for patients undergoing surgery. If
hair at the operative site is not shaved, what should be done to make suturing easy and lessen
chance of incision infection?

Shampooed
Draped
Pulled
Clipped

32. The breakdown in teamwork is often times a failure in:

Leg work
Communication
Electricity
Inadequate supply
33. The asthmatic client asked you what breathing technique he can best practice when asthmatic
attack starts. What will be the best position?

Sit-up with shoulders back

Lean forward 30-40 degrees with each exhalation
Sit in high-Fowler’s position with extended legs
Push on abdomen during exhalation

34. As a nurse you are always alerted to monitor status asthmaticus who will likely and initially
manifest symptoms of:

metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis
35. Over dosage of medication or anesthetic can happen even with the aid of technology like
infusion pump, sphygmomanometer, and similar devices/machines. As a staff, how can you
improve the safety of using infusion pumps?

Allow the technician to set the; infusion pump before use

Check the functionality of the pump before use
Select your brand of infusion pump like you do with your cellphone
Verify the flow rate against your computation

36. You will give health instructions to Carlo, a case of bronchial asthma. The health instruction
will include the following EXCEPT:

Avoid emotional stress and extreme temperature

Avoid pollution like smoking
Avoid pollens, dust seafood
Practice respiratory isolation

37. Situation 5 – Nurses hold a variety of roles when providing care to a perioperative patient.
Which of the following role would be the responsibility of the scrub nurse?

Ensure that the airway is adequate

Assess the readiness of the client prior to surgery
Evaluate the type of anesthesia appropriate for the surgical client
Account for the number of sponges, needles, supplies, Used during the surgical procedure

38. JCAHO’s universal protocol for surgical and invasive procedures to prevent wrong site,
wrong person, and wrong procedures/surgery includes the following EXCEPT:

Conduct time out immediately before starting the procedure

Conduct pre-procedure verification process
Take a video of the entire intra-operative procedure
Mark the operative site if possible

39. Aminophylline was ordered for acute asthmatic attack. The mother asked the nurse, what its
indication the nurse will say is:

Relax smooth muscles of the bronchial airway

Promote expectoration
Suppress cough
Prevent thickening of secretions

40. When surgery is on-going, who coordinates the activities outside, including the family?

Nurse supervisor
Anaesthesiologist
Circulating nurse
Orderly/clerk

41. Situation 11 -After an abdominal surgery, the circulating and scrub nurses have critical
responsibility about sponge and Instrument count. When is the first sponge/instrument count
reported?

Before the fascia is sutured

Before peritoneum is closed
Before closing the subcutaneous layer
Before dosing the skin

42. The following are appropriate nursing interventions during colostomy irrigation EXCEPT:

Hand the solution 18 inches above the stoma

Increase the irrigating solution flow rate when abdominal cramps is felt
Position client in semi-Fowler
Insert 2-4 inches of an adequately lubricated catheter to the stoma

43. What sensation is used as a gauge so that patients with ileostomy can determine how often
their pouch should be drained?

Sensation of smell
Sensation of taste
Sensation of pressure
Urge to defecate

44. Another alternative “suture” for skin closure is the use of:

Absorbent dressing
Staple
Therapeutic glue
invisible suture

45. After ileostomy, which of the following condition is NOT expected?

Establishment of regular bowel movement

Irritation of skin around the stoma
Liquid stool
Increased weight

46. What health instruction will enhance regulation of a colostomy (defecation) of clients?

Irrigate after lunch everyday

Eat balanced meals at regular intervals
Restrict exercise to walking only
Eat fruits and vegetables in all three meals

47. Situation 10 – As a beginner in research, you are aware that sampling is an essential element
of the research process. What does a sample group represent?

Control group
Universe
Study subjects
General population

48. Situation 9 – Colostomy is a surgically created anus- It can be temporary or permanent,

depending on the disease condition. Skin care around the stoma is critical. Which of the
following is not indicated as a skin care barriers?

Clean the area daily with soap and water before applying bag
Use karaya paste and rings around the stoma
Apply talcum powder twice a day
Apply liberal amount of mineral oil to the area

49. You decided to include 5 barangays in your municipality and chose a sampling method that
would get representative samples from each barangay. What should be the appropriate
method for you to use in this care?

Cluster sampling
Random sampling
Stratified sampling
Systematic sampling

50. Like sutures, needles also vary in shape and uses. If you are the scrub nurse for a patient who
is prone to keloid formation and has a low threshold of pain, what needle would you prepare?

Tapered needle
Atraumatic needle
Round needle
Reverse cutting needle

51. As a nurse, your primary focus in the workplace is the client’s safety. However, personal
safety is also a concern. You can communicate hazards to your co-workers through the use of
the following EXCEPT:

Use of labels and signs

Formal training
Posters
Posting IR in the bulletin board

52. As a nurse, what is one of the best way to reconcile medications across the continuum of
care?

Endorse in writing
Communication a complete list of the patient’s medication to the next provider of service
Endorse the routine and ‘stat’ medications every shift
Endorse on a case-to-case basis

53. As a nurse, you can help improve the effectiveness of communication among health care
givers

One-on-one oral endorsement

Text messaging and e-mail
Using standardized list of abbreviations, acronyms, and symbols
Use of reminders of what to do

54. Situation 12 – As a nurse, you should be aware and prepared of the different roles you play.
What role do you play, when you hold all clients’ information entrusted to you in the strictest
confidence?

Patient’s arbiter
Patient’s Liaison
Educator
Patient’s advocate

55. What is the most important characteristics of a sample?

Appropriate location
Randomization
Representativeness
Appropriate number

Which of the following sampling methods allows the use of any group of research subject?
Purposive
Snow-bail
Quota - Given
Convenience

56. What major supportive layer of the abdominal wall must be sutured with long tensile strength
such as cotton or nylon or silk suture?

Skin
Muscle
Peritoneum
Fascia

57. Random sampling ensures that each subject has:

Been selected based on set criteria

Characteristics that match other samples
An equal chance of selection
Been selected systematically

58. Like any nursing interventions, counts should be documented. To whom does the scrub nurse
report any discrepancy of country so that immediate ‘and appropriate action is instituted?

Anesthesiologist
Circulating nurse
Or nurse supervisor
Surgeon

59. As a nurse, you protect yourself and co-workers from misinformation and misrepresentations
through the following EXCEPT:

Advising the client, by virtue of your expertise, that which can contribute to the client’s well-
being
Health education among clients and significant others regarding the use of chemical disinfectant
Provide information to clients about a variety of services that can help alleviate the client’s pain
and other conditions
Endorsement thru trimedia to advertise your favorite disinfectant solution

60. Situation 14 – You were on duty at the medical ward when Zeny came in for admission for
tiredness, cold intolerance, constipation, and weight gain. Upon examination, the doctor’s
diagnosis was hypothyroidism. Your independent nursing care for hypothyroidism includes:

Providing a cool, quiet, and comfortable environment

Administer sedative round the clock
Administer thyroid hormone replacement
Encourage to drink 6-8 glasses of water

61. Before bedtime, you want to ensure Kyle’s safety in ‘bed. You will do which of the
following:

Put the lights on

Put the side rails up
Lock the doors
Test the call system

62. Pentoxicodone 5 mg IV every 8 hours was prescribed for post abdominal pain. Which will be
your priority nursing action?

Avoid overdosing to prevent dependence/tolerance

Check abdominal dressing for possible swelling
Monitor VS, more importantly RR .
Explain the proper use of PCA to alleviate anxiety

63. To prevent leakage of fluid in the thoracic cavity, how wilt you position the client after
thoracentesis?

Turn on the unaffected side

Turn on the affected side
Place flat in bed
On bed rest

64. During thoracentesis, which of the following nursing intervention will be most crucial?

Place patient in a quiet and cool room

Maintain strict aseptic technique
Apply pressure over the puncture site as soon as the needle is withdrawn
Advise patient to sit perfectly still during needle insertion until it has been withdrawn from the
chest

65. Myxedema coma is a life threatening complication of long standing and untreated
hypothyroidism with one of the following characteristics.

Hyperglycemia
hypoglycemia
hyperthermia
hypothermia

66. Mrs. Pichay, who is for thoracentesis, is assisted by the nurse to any of the following
positions, EXCEPT:
sitting on the edge of the bed with her feet supported and arms and head on a padded overhead
table
straddling a chair with arms and head resting on the back of the chair
lying prone with the head of the bed lowered 15-30 degrees
lying on the unaffected side with the bed elevated 30-40 degrees

67. A one-day postoperative abdominal surgery client has been complaining of severe throbbing
abdominal pain described as 9 in a 1-10 pain rating. Your assessment reveals bowel sounds
on all quadrants and the dressing is dry and intact. What nursing intervention would you
take? ✖

Call surgeon stat

Encourage client to do imagery
Encourage deep breathing and turning
Medicate client as prescribed

68. Chest x-ray was ordered after thoracentesis. When you client asks what is the reason for
another chest x-ray, you will explain:

to rule out pneumothorax

to rule out any foreign: body
to decongest
to rule out any possible perforation

69. Your appropriate nursing diagnosis for Zeny who is suffering from hypothyroidism would
probably include which of the following?

Deficient fluid volume related to diarrhea

Activity intolerance related to tiredness associated with disorder
Imbalance nutrition related to hypermetabolism
Risk to injury related to incomplete eyelid closure

70. Kyle is diagnosed to have measles. What will your protective personal attire include?

Face mask
Eyewear
Gloves
Gown

71. Situation 16 – In the hospital, you are aware that we are helped by the .use of a variety of
equipment/devices to enhance quality patient care delivery; You are initiate an IV line to
your patient, Kyle, 5, who is febrile. What IV administration set will you prepare?

Microset
Volumetric chamber
Macroset
Blood transfusion set

72. Surgical pain might be minimized by which nursing action in the OR:

Appropriate preparation For the scheduled procedure

Use of modem technology in closing the wound
Proper positioning and draping of clients
Skill of surgical team and lesser manipulation

73. As the nurse, you should anticipate to administer which of the following medications to Zeny
who is diagnosed to be suffering from hypothyroidism?

Lipitor
Lidocaine
Levophed
Levothyroxine

74. One very common cause of postoperative pain is:

Forceful traction during surgery

Break in aseptic technique
Prolonged surgery
Inadequate anesthetic

75. Situation 15 – Mrs. Pichay is admitted to your ward. The MD ordered “Prepared for
thoracentesis this pm to remove excess air from the pleural cavity.” Which of the following
nursing responsibility is essential in Mrs. Pichay who will undergo thoracentesis?

Ascertain if chest x-rays and other tests have been prescribed and completed
Determine if client has allergic reaction to local anesthesia
Support, and reassure client during the procedure
Ensure that informed consent has been signed

76. Kyle’s room is fully mechanized. What do you teach the watcher and Kyle to alert the nurse
for help?

Call system
How to lock side rails
Number of the telephone operator
Remote control

77. The client complained of abdominal and pain. Your nursing intervention that can alleviate
pain is:

Instruct client to go to sleep and relax

Advise the client to close the lips and avoid deep breathing and talking
Offer hot and clear soup
Turn to sides frequently and avoid too much talking

78. As a nurse, you know that the most common type of goiter is related to a deficiency

iodine
thyroxine
iron
thyrotropin

79. What will you do to ensure that Kyle, who is febrile, will have a liberal oral fluid intake?

Provide a calibrated pitcher of drinking water and juice at the bedside and monitor intake and
output
Provide a writing pad to record his intake
Provide a glass of fruit every meal
Regulate his IV to 30 drops per minute

80. Situation 20 – At the medical-surgical ward, the nurse must also be concerned about drug
interactions. You have a client with TPN. You know that in TPN, like blood transfusion,
there should be no drug incorporation. However, the MD’s order read; incorporate insulin to
present TPN. Will you follow the order?

Yes, because it was ordered by the MD

No, because insulin will induce hyperglycemia in patients with TPN
Yes, because insulin is chemically stable with TPN and can enhance blood glucose level
No, because insulin is not compatible with TPN

81. Situation 17 – Tony, 11 years old, has ‘kissing tonsils’ and is scheduled for tonsillectomy and
adenoidectomy or T and A. You are the nurse of Tony who will undergo T and A in the
morning. His mother asked you if Tony will be put to sleep. Your teaching will focus on:

anesthesiologist’s preference
general anesthesia
spinal anesthesia
local anesthesia

82. Situation 19 – Fe is experiencing left sharp pain and occasional hematuria. She was advised
to undergo IVP by her physician. Fe was so anxious about the procedure and particularly
expressed her low pain threshold. Nursing health instruction will include:

assure the client that contrast medium will be given orally

assure the client that the procedure painless
assure the client that the pain is associated with the warm sensation during the administration of
the Hypaque by IV
assure the client that x-ray procedure like IVP is only done by experts
83. In insulin administration, it should be understood that our body normally releases insulin
according to our blood glucose level. When is insulin and glucose level highest?

After an exercise
After ingestion of food
After excitement
After a good night’s rest

84. Tony is to be discharged in the afternoon of the same day after tonsillectomy and
adenoidectomy. You as the RN will make sure that the family knows to:

offer osterized feeding

offer soft foods for a week to minimize discomfort while swallowing
supplement his diet with vitamin C rich juices to enhance heating
offer clear liquid for 3 days to prevent irritation

85. The IVP reveals that Fe has small renal calculus that can be passed out spontaneously. To
increase the chance of passing the stones, you instructed her to force fluids and do which of
the following?

Ambulance more
Strain all urine
Balanced diet
Bed rest

86. What will the nurse monitor and instruct the client and significant others, post IVP?

Monitor intake and output

Report signs and symptoms for delayed allergic reactions
Observe NPO for 6 hours
Increase fluid intake

87. A renal failure patient was ordered for creatinine clearance. As the nurse you will collect

24 hour urine specimen

random urine specimen
first morning urine
48 hour urine specimen

88. Post IVP, Fe should excrete the contrast medium. You instructed the family to include more
vegetables in the diet and

increase fluid intake

gastric lavage
cleansing enema
barium enema

89. Situation 18 – Rudy was diagnosed to have chronic renal failure. Hemodialysis is ordered
that an A-V shunt was surgically created. Which of the following action would be of highest
priority with regards to the external shunt?

Heparinize the shunt daily

Avoid taking BP or blood sample from the arm with shunt
Change dressing of the shunt daily
Instruct the client not to exercise the arm with the shunt

90. The presence of calculi in the urinary tract is called:

Urolithiasis
Ureterolithiasis
Nephrolithiasis
Colelithiasis

91. Rudy undergoes hemodialysis for the first time and was scared of disequilibrium syndrome.
He asked you how this can be prevented. Your response is:

maintain fluid and electrolyte balance

initial hemodialysis shall be done for 30 minutes only so as not to rapidly remove the waste from
the blood than from the brain
maintain aseptic technique throughout the hemodialysis
maintain a conducive comfortable and cool environment

92. The RR nurse should monitor for the most common postoperative complication of:

endotracheal tube perforation

hemorrhage
esopharyngeal edema
epiglottis

93. One patient has a ‘runaway’ IV of 50% dextrose. To prevent temporary excess of insulin
transient hyperinsulin reaction, what solution should you prepare in anticipation of the
doctors order?

Isotonic solution
Hypertonic solution
Hypotonic solution
Any IV solution available to KVO

94. How can nurse prevent drug interaction including absorption?

Always flush with NSS after IV administration

Improving on preparation techniques
Referring to manufacturer’s guidelines
Administering drugs with more diluents

95. You are assisted by a nursing aide with the care of the client with renal failure. Which
delegated function to the aide would you particularly check?

Obtaining vital signs

Checking bowel movement
Monitoring and recording I and O
Monitoring diet

96. The PACU nurse will maintain postoperative T and A client in what position?

Supine with neck hyperextended and supported with pillow

Reverse trendelenburg with extended neck
Semi-Fowler’s with neck flexed
Prone with the head on pillow and tuned to the side

97. The RN should also know that some drugs have increased absorption when infused in PVC
container. How will you administer drugs such as insulin, nitroglycerine hydralazine to
promote better therapeutic drug effects?

Incorporate to the IV solution

Use volumetric chamber
Administer by fast drip
Inject the drugs as close to the IV injection site

98. Mothers of children undergoing tonsillectomy and adenoidectomy usually ask what food
prepared and give their children after surgery. You as the nurse will say:

ice cream when fully awake

soft diet when fully awake
hot soup when awake
balanced diet when fully awake

99. Diet therapy for Rudy, who has acute renal failure, is two-protein, low potassium and
sodium. The nutrition instruction should include:

Bananas, cantaloupe, orange and other fresh fruits can be included in the diet
Encourage client to include raw cucumbers, carrot, cabbage, and tomatoes
Encourage client to include raw cucumbers, carrot, cabbage, and tomatoes
Recommend protein of high biologic value like eggs, poultry and lean meat