Physiological Integrity: Basic Care and Comfort-Nutrition
7. In preparation for surgery, a client is placed on a low-residue diet. In discussing the kinds of foods that will be allowed, a nurse should list:
Test-Taking Tip
Know that high-fiber foods influence stool production. The goal before surgery is to reduce the amount of stool. Eliminate most vegetables (Answer 2), fruits (Answer 3), and bran and whole wheat (Answer 4).
Content Area: Adult Health, Gastrointestinal; Integrated Process: Nursing Process, Implementation; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Nutrition and Oral Hydration
Physiological Integrity: Basic Care and Comfort-Nutrition
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Answer 1 is correct because residue is produced by high-fiber foods. Lean beef, well cooked, and eggs are not good sources of fiber. Low residue reduces the amount of stool in the large bowel. Answer 2 is incorrect because leafy greens (particularly in the cruciferous family) are high in roughage and fiber. Answer 3 is incorrect because only grapes would be allowed on a low-residue diet. Generally fruit juices (except prune) are permitted. Answer 4 is incorrect because grains such as bran and whole wheat are high fiber sources. Dairy may be permitted. In a low-residue diet, refined, plain foods are permitted.