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 B

Explanation

Choice A reason: While it is important to note the client's status, the phrase "unchanged throughout the shift" is too vague and does not provide specific details about the client's condition.

Choice B reason: Documenting that the abdominal wound is dry and without redness is crucial as it indicates the absence of infection or complications at the surgical site.

Choice C reason: Stating that the incision is healing well is subjective unless supported by specific observations such as the absence of redness, swelling, or discharge.

Choice D reason: Noting that the client received an adequate amount of fluid is important, but it is not as specific as documenting the condition of the wound, which is a direct indicator of recovery progress.

A. "I will perform breast exams every other month." B. "I will perform breast exams the day my period begins." C. "It is common for one breast to be larger than the other." D. "It is common for the skin on my breasts to dimple."

Correct Answer is C

Explanation

Choice A reason: Performing breast exams every other month is not recommended; monthly exams are important for early detection of changes.

Choice B reason: Performing breast exams the day after the period begins is advised because hormonal changes can affect breast tissue, making this timing optimal for consistency in examination.

Choice C reason: While it is common for one breast to be larger than the other, this statement does not reflect an understanding of how to perform a breast self-examinations.

Choice D reason: Dimpling of the skin on the breasts can be a sign of breast cancer; it is not common and should be evaluated by a healthcare professional.

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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

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Correct Answer is C

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