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

Answer and Explanation

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.

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Correct Answer is ["100"]

Explanation

Step 1: Determine the total volume to be infused.

Total volume = 50 mL
Result: 50 mL

Step 2: Determine the total time for infusion in hours.

Total time = 30 minutes
Convert minutes to hours: 30 minutes ÷ 60 minutes/hour = 0.5 hours
Result: 0.5 hours

Step 3: Calculate the flow rate in mL/hr.

Flow rate (mL/hr) = Total volume (mL) ÷ Total time (hours)
Flow rate (mL/hr) = 50 mL ÷ 0.5 hours
Result: 50 ÷ 0.5 = 100

Final Answer: The nurse should set the IV pump to deliver 100 mL/hr.

A. Erythromycin B. Gentamicin C. Amphotericin B D. Amoxicillin-clavulanate

Correct Answer is D

Explanation

Choice A reason:

Erythromycin is a macrolide antibiotic and is generally considered safe for patients with a penicillin allergy. It does not share the beta-lactam ring structure that is responsible for cross-reactivity in penicillin-allergic patients.

Choice B reason:

Gentamicin is an aminoglycoside antibiotic and is also safe for patients with a penicillin allergy. It does not have the beta-lactam ring structure and therefore does not pose a risk of cross-reactivity.

Choice C reason:

Amphotericin B is an antifungal medication and is not related to penicillin. It is safe for use in patients with a penicillin allergy as it does not share any structural similarities with penicillin.

Choice D reason:

Amoxicillin-clavulanate is a combination of a penicillin antibiotic (amoxicillin) and a beta-lactamase inhibitor (clavulanate). Since it contains amoxicillin, it should not be given to patients with a penicillin allergy due to the risk of an allergic reaction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["100"]

Explanation

A nurse is caring for a child who is allergic to penicillin. The nurse should clarify which of the following prescriptions with the provider?

Correct Answer is D

Explanation

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