DHS 2018 shift 1st
Medical Surgical Nursing
Hard
Which of the following post-operative diets is most appropriate for the client who has had a haemorrhoidectomy?
Appeared in: DHS 2018 shift 1st
Explanation
- The primary goal after a haemorrhoidectomy is to prevent constipation and straining during defecation to protect the surgical site.
- A high-fibre diet adds bulk and water to the stool, making it softer and easier to pass without straining.
- This dietary approach is crucial for minimizing pain, preventing bleeding, and promoting uncomplicated wound healing.
- Adequate fluid intake (2-3 L/day) is essential to accompany a high-fibre diet for it to be effective.
Why Other Options Were Wrong
- Option B: A low-residue diet is designed to decrease the frequency and volume of stools. This can lead to harder stools and constipation, which is the primary complication to be avoided after a haemorrhoidectomy.
- Option C: A bland diet consists of foods that are soft, not spicy, and low in fat. It does not specifically address the need for stool softening and bulk required after a haemorrhoidectomy.
- Option D: A clear-liquid diet is nutritionally incomplete and lacks fibre. While it may be used in the immediate 12-24 hours after surgery as the patient recovers from anaesthesia, it is not a long-term solution and does not support the goal of forming soft, bulky stools for comfortable defecation.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Post-operative dietary management following a haemorrhoidectomy as background academic context rather than a clinical decision trigger.
- A nurse's primary role is patient education on the importance of diet, fluid intake, and prescribed medications like stool softeners to ensure a smooth recovery.
- Nurses must monitor for the first bowel movement post-surgery, assessing the patient's pain level and the characteristics of the stool.
- Patient safety involves teaching the patient to avoid straining, not just during defecation but also when lifting or coughing, and to use sitz baths for comfort and hygiene.
How to Approach the Question
- First, identify the core procedure: haemorrhoidectomy. This is surgery on the anus and rectum.
- Next, determine the primary post-operative risk associated with this specific location. The main concern is pain and injury to the surgical site during a bowel movement.
- Analyze the cause of this risk: hard stools and straining during defecation cause trauma. Therefore, the goal is to make stools soft and easy to pass.
- Evaluate the options based on this goal. A high-fibre diet is known to soften stools and prevent constipation.
- Eliminate the other options. A low-residue diet can cause constipation. A bland diet is for stomach irritation. A clear-liquid diet is only a temporary first step and lacks fibre.
Concept Tested & Keywords
- Concept Tested: Post-operative dietary management following a haemorrhoidectomy.
- Stem keywords: post-operative diet, haemorrhoidectomy
- Lead-in keywords: most appropriate
Question ID
QCa9al3GzaF9Kc7yj6Hz3C
Reference Book
E6 Nutrition Kumud Khanna 2e p. 252-254
E6 Nursing Fundamentals Taylor p. 510-512
Practise the full DHS 2018 shift 1st
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Perioperative Concepts and Nursing Management Questions
- The nurse is informed that a client with a large surgical incision is being transferred from the intensive care unit to the surgical unit. What medic…
- Why it is necessary to remove dark coloured nail paint before surgery?
- Vicryl 3-0 is:
- Following is the picture of sterile sponge used in emergency. It has a blue colour thread. What is the purpose of this colour thread?
- Identify the following instrument:
- Identify the blade used:
- Identify the instrument used by a nurse in the following image:
- In operation theater during cauterization, the electric current passing from a single electrode is called:
- In suture holding position, the tip of the needle should penetrate the skin perpendicularly about \ \ \ \ \ \ \ \ \ \ \ from the wound edge.
- Spinal tap is also known as:
More DHS 2018 shift 1st Questions
- The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to?
- Area rank of Maharashtra in India?
- A doctor calls the nurse to obtain the daily laboratory results of a client who is receiving parenteral nutrition. Which is the most important labora…
- The nurse caring for a client with a closed head injury obtains an intracranial pressure (ICP) reading of 12 mmHg. The nurse recognizes that?
- While caring for a client with hypertension, the nurse notes the following vital signs, BP of 140/90 mm hg, pulse- 120, respirations-36, and temperat…
- What event occurring in the second trimester helps the expectant mother to accept the pregnancy?
- A nurse is assessing a client with Addison's disease for signs of hyperkalemia. The nurse expects to note which of the following if hyperkalemia is p…
- When administering a tuberculin skin test, the nurse should insert needle at a?
- If green's called 'white', 'white' is called yellow', 'yellow' is called 'blue', 'blue' is called 'pink' and 'pink' is called 'black', then what is t…
- Which finding is the best indication that a client with ineffective airway clearance needs suctioning?