A nurse is providing teaching to a client who has dumping syndrome. Which of the following instructions should the nurse include in the teaching?
"Eat protein at each meal."
"Drink beverages with meals."
"Consume three large meals daily."
"Sit up in bed after meals."
The Correct Answer is A
The correct answer is choice A. “Eat protein at each meal.”
Choice A rationale:
Eating protein at each meal can help slow down the digestion process and reduce the symptoms of dumping syndrome. Protein takes longer to digest compared to carbohydrates, which can help prevent the rapid emptying of the stomach contents into the small intestine.
Choice B rationale:
Drinking beverages with meals is not recommended for clients with dumping syndrome. Fluids can increase the speed at which food moves through the stomach, exacerbating symptoms. It is generally advised to drink fluids between meals rather than with meals.
Choice C rationale:
Consuming three large meals daily is not advisable for clients with dumping syndrome. Large meals can cause a rapid emptying of stomach contents into the small intestine, leading to symptoms. Instead, eating smaller, more frequent meals is recommended to help manage the condition.
Choice D rationale:
Sitting up in bed after meals is not recommended for managing dumping syndrome. In fact, lying down for about 30 minutes after eating can help slow the movement of food through the digestive tract and reduce symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A temperature of 37.2°C (99°F) is within the normal range (approximately 36.5°C to 37.5°C or 97.7°F to 99.5°F) and does not specifically indicate fluid volume deficit. It's important to consider this value along with other findings.
Choice B rationale:
(Correct Choice) A pulse rate of 118/min is indicative of tachycardia, which can be a sign of fluid volume deficit. When the body is experiencing a decrease in fluid volume, the heart rate often increases as a compensatory mechanism to maintain adequate circulation. Tachycardia helps to pump a reduced blood volume more rapidly to vital organs.
Choice C rationale:
A blood pressure of 152/90 mm Hg is elevated but does not solely indicate a fluid volume deficit. While low blood pressure can be a sign of dehydration, high blood pressure does not necessarily correlate directly with fluid volume status.
Choice D rationale:
Central venous pressure (CVP) of 25 mm Hg is elevated. CVP reflects the pressure in the vena cava and right atrium, indicating the amount of blood returning to the heart. An elevated CVP might be seen in fluid volume excess or right-sided heart failure, not fluid volume deficit.
Correct Answer is C
Explanation
Choice A rationale:
Cucumbers Cucumbers are not relevant to the client's medication regimen. There is no specific interaction between cucumbers and digoxin or furosemide that would require their consumption or avoidance.
Choice B rationale:
Blueberries Similarly, blueberries do not have any specific interaction with digoxin or furosemide. They are not a necessary or contraindicated food item for this client.
Choice C rationale:
Bananas The nurse should instruct the client to consume bananas. Bananas are a good dietary source of potassium. Furosemide is a loop diuretic that can cause potassium depletion, so it's important for the client to maintain adequate potassium levels. Digoxin can also affect potassium levels, potentially leading to an increased risk of digoxin toxicity if potassium is too low. Including potassium-rich foods like bananas can help mitigate these risks and maintain proper electrolyte balance.
Choice D rationale:
Green beans While green beans are a nutritious vegetable, they do not have a direct relevance to the client's medication regimen. They are not specifically indicated or contraindicated in the context of digoxin and furosemide use.
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