When advancing the diet for a client who has been NPO, which assessment would justify moving to clear liquids?

Advancing a client’s diet after being NPO (nothing by mouth) requires careful consideration of their physiological readiness to tolerate oral intake. A key assessment indicator in this context is the presence of bowel activity, specifically the passage of flatus. Reporting passing flatus demonstrates that the gastrointestinal (GI) system is functioning and beginning to process contents, which is essential before introducing any oral foods or liquids. This indicates a return of bowel motility, suggesting that the digestive system may be ready for more than just clear liquids.

Other assessments may not necessarily justify the move to clear liquids. Complaints of hunger can occur irrespective of GI function, and they do not provide insight into whether the intestines are ready to handle substances introduced orally. Feeling nauseous implies potential gastrointestinal distress, which would warrant caution in advancing the diet. A stable blood pressure is important for overall health, but it does not specifically indicate gastrointestinal readiness or tolerability for dietary changes. Therefore, the most relevant and justifying assessment for advancing to clear liquids is the passage of flatus, signaling a functioning and responsive digestive system.