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NCLEX-RN · Question #413

NCLEX-RN Question #413: Real Exam Question with Answer & Explanation

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Question

A 52-year-old client who underwent an exploratory laparotomy for a bowel obstruction begins to complain of hunger on the third postoperative day. His nasogastric (NG) tube was removed this morning, and he has an IV of D5W with 0.45% normal saline running at 125 mL/hr. He asks when he can get rid of his IV and start eating. The nurse recognizes that he will be able to begin taking oral fluids and nourishment when:

Options

  • AIt is determined that he has no signs of wound infection
  • BHe is able to eat a full meal without evidence of nausea or vomiting
  • CThe nurse can detect bowel sounds in all four quadrants
  • DHis blood pressure returns to its preoperative baseline level or greater

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