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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Serving foods while still at a hot temperature (Choice A) is not an appropriate intervention for a client with stomatitis following radiation therapy. Stomatitis can cause inflammation and soreness in the mouth, and hot foods can further irritate the sensitive tissues, leading to increased discomfort and potential injury.
Choice B rationale:
Serving foods without sauces or gravies (Choice B) is the correct choice. Stomatitis often causes pain and discomfort in the mouth, and spicy or acidic foods, as well as those with sauces or gravies, can exacerbate this discomfort. Providing plain and bland foods can help reduce irritation and promote healing in sensitive oral tissues.
Choice Crationale:
Instructing the client to drink liquids without a straw (Choice C) is not a direct intervention for stomatitis. It's more commonly recommended for clients who have undergone oral surgery to prevent dislodging of blood clots. While it's generally a good practice for oral health, it might not significantly impact the discomfort caused by stomatitis.
Choice Drationale:
Offering mouth rinses with normal saline and water (Choice D) is generally a good practice for maintaining oral hygiene, but it might not be the most appropriate intervention for a client with stomatitis following radiation therapy. While rinsing can help keep the mouth clean, it might cause discomfort in the presence of stomatitis due to the potential for mechanical irritation.
Correct Answer is D
Explanation
Choice A rationale:
Alternating breasts during feedings is not primarily done for comfort, but rather to ensure that the baby receives both foremilk and hindmilk from each breast. Foremilk is more watery and quenches thirst, while hindmilk is richer in fats and nutrients. This choice does not accurately reflect the purpose of alternating breasts.
Choice B rationale:
Newborns often need to nurse more frequently than every 4 hours, especially during the early weeks when their stomach capacity is small. Feeding every 2 to 3 hours is generally recommended to ensure they receive enough nourishment and to stimulate milk supply.
Choice C rationale:
Supplementing feedings with water is unnecessary and can even be harmful to a breastfeeding baby. Breast milk provides all the necessary hydration for the baby, and introducing water before the recommended age can lead to decreased milk intake and potential electrolyte imbalances.
Choice D rationale:
(Correct Choice) This statement indicates an understanding of breastfeeding dynamics. The baby receives the majority of the milk's volume within the first 10 minutes of breastfeeding. However, it's important to note that nursing beyond the initial 10 minutes allows the baby to access the richer hindmilk, which is important for their growth and satiety.
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