A nurse is providing instructions to a patient who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include?
Drink at least one glass of water with each meal.
Increase protein in your diet.
Eat three moderate-sized meals a day.
Eat a bedtime snack that contains a milk product.
The Correct Answer is B
Choice A rationale
Drinking a glass of water with each meal is not typically recommended for patients with dumping syndrome. In fact, it’s often suggested to avoid drinking liquids until at least 30 minutes after a meal.
Choice B rationale
Increasing protein in the diet is indeed a good recommendation for a patient with dumping syndrome. High-protein foods can help to slow the rate of gastric emptying and reduce symptoms.
Choice C rationale
Eating three moderate-sized meals a day might not be the best advice for a patient with dumping syndrome. Instead, it’s often recommended to eat smaller, more frequent meals throughout the day.
Choice D rationale
Eating a bedtime snack that contains a milk product is not typically recommended for patients with dumping syndrome. Dairy products can sometimes exacerbate symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Elevating the patient’s legs on two pillows is not typically a necessary action after a liver biopsy. This position does not directly aid in the recovery or prevention of complications related to a liver biopsy.
Choice B rationale
Positioning the patient on the right side after a liver biopsy is a common nursing intervention. This position applies pressure to the liver biopsy site, which can help minimize bleeding and facilitate clot formation at the biopsy site.
Choice C rationale
Keeping the patient in a high Fowler’s position is not typically recommended after a liver biopsy. This position does not provide direct benefits in terms of recovery or prevention of complications from a liver biopsy.
Choice D rationale
Ambulating the patient twice each shift is not typically recommended immediately after a liver biopsy. Rest is usually advised to allow the liver tissue to heal and to minimize the risk of bleeding.
Correct Answer is B
Explanation
Choice A rationale
Development of gastric ulcers is not a common complication of an esophagogastroduodenoscopy (EGD) procedure. Gastric ulcers are typically caused by factors such as Helicobacter pylori infection or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), not by the EGD procedure itself.
Choice B rationale
Perforation of the esophagus, stomach, or duodenum is a potential complication of an EGD procedure. During an EGD, a flexible tube with a camera is inserted through the mouth and down into the gastrointestinal tract. If the tube accidentally punctures or tears the lining of the esophagus, stomach, or duodenum, it can cause a perforation. This is a serious complication that requires immediate medical attention.
Choice C rationale
While allergic reactions to the sedation medication used during an EGD procedure can occur, they are not a direct complication of the EGD procedure itself. Allergic reactions would be related to the specific medication used for sedation and not the procedure.
Choice D rationale
Infection at the site of the procedure is not a common complication of an EGD. The procedure is performed using aseptic technique to minimize the risk of infection.
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