A nurse is reinforcing teaching with a client who is newly diagnosed with dumping syndrome. Which of the following instructions should the nurse include in the teaching?

Remain upright for 30 minutes after eating.

Eliminate simple sugars.

Eat three large meals per day.

Drink water with meals.

Answer and Explanation

The Correct Answer is B

Choice A reason: Remaining upright for 30 minutes after eating may help with digestion, but it is not specific to the management of dumping syndrome.

Choice B reason: Eliminating simple sugars is crucial in the management of dumping syndrome as they can cause rapid gastric emptying, leading to symptoms.

Choice C reason: Eating three large meals per day is not recommended for dumping syndrome; smaller, more frequent meals are advised to prevent symptoms.

Choice D reason: Drinking water with meals can exacerbate symptoms of dumping syndrome by increasing the speed of gastric emptying; it is better to drink fluids between meals.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"A"}}

Explanation

Based on the information provided and the search results, here are the potential actions the nurse should take:

Choice A. nonessential

Reason: A 24-hour urine collection helps diagnose kidney problems. However, there is no clear indication from the provided information that the patient has kidney issues. Therefore, this prescription isat this point.

Choice B. nonessential

Reason: Metoprolol is a beta-blocker used in the treatment of heart failure. There is no clear indication from the provided information that the patient is experiencing adverse effects from metoprolol that would necessitate holding the medication.

Choice C. contraindicated

Reason: For people with heart failure, restricting dietary sodium intake to levels below the standard recommended maximum of about 2.3 grams per day does not bring additional benefits and may increase the risk of death.

Choice D. anticipated

Reason: Furosemide is a diuretic used in the treatment of heart failure. The patient's weight has increased, which could indicate fluid retention, a common symptom of worsening heart failure. Therefore, this prescription is .

Choice E. contraindicated

Reason: Oxygen therapy is used in heart failure patients to ensure adequate oxygen supply. However, the patient's oxygen saturation has decreased from 93% to 90%.

Choice F. anticipated

Reason: Daily weight monitoring is crucial in heart failure management as it can help detect fluid retention, a common symptom of worsening heart failure.

A. Stoma retracts into the abdominal wall. B. Stool contains scant red blood. C. Stool is a dark green color. D. Stoma is a cherry red color.

Correct Answer is A

Explanation

Choice A reason: A stoma retracting into the abdominal wall may indicate ischemia or other complications that could compromise the stoma's viability and function.

Choice B reason: Scant red blood in the stool may be expected shortly after surgery, but persistent bleeding should be monitored and reported if it continues.

Choice C reason: Stool being a dark green color is normal shortly after ileostomy placement as the bowel adjusts.

Choice D reason: A cherry red stoma color is healthy and indicates good blood supply.

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A nurse is reinforcing teaching with a client who is newly diagnosed with dumping syndrome. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"A"}}

Explanation

A nurse is caring for a client who is 3 days postoperative following an ileostomy placement. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

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