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 C

Explanation

Choice A reason:

The statement “Dark urine” is not typically a manifestation of an allergic reaction to oxacillin. Dark urine can indicate other issues such as dehydration, liver problems, or the presence of blood, but it is not a common sign of an allergic reaction to antibiotics.

Choice B reason:

The statement “Diarrhea” is a common side effect of many antibiotics, including oxacillin, but it is not specifically indicative of an allergic reaction. Diarrhea can occur due to the disruption of normal gut flora by antibiotics, but it does not necessarily mean the patient is allergic to the medication.

Choice C reason:

The statement “Urticaria” (hives) is a classic sign of an allergic reaction. Urticaria presents as raised, itchy welts on the skin and is a common allergic response to medications, including oxacillin. This reaction occurs when the immune system releases histamines in response to the drug.

Choice D reason:

The statement “Fever” can be associated with both infections and allergic reactions, but it is not a definitive sign of an allergic reaction to oxacillin. Fever can occur due to the underlying infection being treated or as a side effect of the medication, but it is not as specific as urticaria for indicating an allergic response.

A. “I will take this medication with an antacid.” B. “I will reduce my fluid intake with this medication.” C. “I will take this medication 1 hour before meals and at bedtime.” D. “I will take this medication as needed to reduce pain.”

Correct Answer is C

Explanation

Choice A reason:

The statement “I will take this medication with an antacid” is incorrect. Sucralfate should not be taken simultaneously with antacids because antacids can interfere with the effectiveness of sucralfate. If antacids are needed, they should be taken at least 30 minutes before or after sucralfate.

Choice B reason:

The statement “I will reduce my fluid intake with this medication” is incorrect. There is no need to reduce fluid intake while taking sucralfate. In fact, maintaining adequate hydration is important for overall health and can help with the medication’s effectiveness.

Choice C reason:

The statement “I will take this medication 1 hour before meals and at bedtime” is correct. Sucralfate works best when taken on an empty stomach, typically 1 hour before meals and at bedtime. This timing helps the medication form a protective barrier over the ulcer, promoting healing.

Choice D reason:

The statement “I will take this medication as needed to reduce pain” is incorrect. Sucralfate is not intended to be taken on an as-needed basis for pain relief. It should be taken regularly as prescribed to effectively treat and heal the ulcer.

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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

A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the following findings is a manifestation of an allergic reaction?

Correct Answer is C

Explanation

A nurse is teaching a client who has a new prescription for sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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