A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemicolectomy. Which of the following foods should the nurse instruct the client to avoid?
White bread
Fresh apples
Poached eggs
The Correct Answer is B
Choice A reason:
White bread is generally low in fiber and easy to digest, making it less likely to cause symptoms of dumping syndrome. While whole grains are typically healthier, in the case of dumping syndrome, low-fiber foods like white bread can be better tolerated.
Choice B reason:
Fresh apples should be avoided because they are high in fiber and can be difficult to digest, potentially exacerbating symptoms of dumping syndrome. The high fiber content can lead to rapid gastric emptying and increased symptoms such as cramping, bloating, and diarrhea.
Choice C reason:
Poached eggs are a good source of protein and are generally well-tolerated by individuals with dumping syndrome. They are easy to digest and do not contribute to rapid gastric emptying, making them a suitable food choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: There are no current occurrences of smallpox. Smallpox was declared eradicated in 1980 by the World Health Organization (WHO) after a successful global vaccination campaign. Therefore, the statement that there are rare, occasional occurrences of smallpox is incorrect.
Choice B reason: Smallpox lesions do not appear in various stages of healing at the same time. Unlike chickenpox, where lesions can be in different stages of healing simultaneously, smallpox lesions typically develop and progress through stages uniformly. This means that all lesions are generally at the same stage of development at any given time.
Choice C reason: The vesicles of smallpox are indeed more abundant on the face and extremities compared to the trunk. This distribution pattern is a distinguishing feature of smallpox, as opposed to chickenpox, which tends to have a more central distribution with more lesions on the trunk.
Choice D reason: Vaccination against smallpox provides lifelong immunity. The smallpox vaccine, which uses a live virus related to smallpox called vaccinia, has been shown to provide long-lasting immunity. Studies have indicated that immunity can last for decades, and even those vaccinated many years ago retain some level of protection.
Correct Answer is C
Explanation
Choice A reason: Your baby will receive the first diphtheria, tetanus, pertussis vaccine at the 2-week well-baby visit is incorrect. The first dose of the diphtheria, tetanus, and pertussis (DTaP) vaccine is typically given at 2 months of age, not at 2 weeks.
Choice B reason: Your baby should receive the measles, mumps, rubella vaccine at 6 months is incorrect. The first dose of the measles, mumps, and rubella (MMR) vaccine is usually given at 12 to 15 months of age.
Choice C reason: Your baby will only receive the hepatitis B vaccine prior to discharge is correct. The hepatitis B vaccine is typically given within 24 hours of birth, and it is the only vaccine administered before the newborn is discharged from the hospital.
Choice D reason: Your baby should receive the pneumococcal conjugate vaccine on his first birthday is incorrect. The pneumococcal conjugate vaccine (PCV13) is given in a series of doses starting at 2 months of age, with additional doses at 4 months, 6 months, and a booster dose at 12 to 15 months.
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