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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: The lower eyelids
The lower eyelids are not typically associated with cheilosis. Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth, not the eyelids.
Choice B: The corners of the mouth
Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth. It typically presents as erythema, scaling, fissuring, and ulceration. In patients with iron deficiency anemia, angular cheilitis can be a clinical manifestation. Therefore, a nurse should monitor the corners of the mouth in a client who has iron deficiency anemia for the clinical manifestation of cheilosis.
Choice C: The anterior nares
The anterior nares (nostrils) are not typically associated with cheilosis. Cheilosis, also known as angular cheilitis, is an inflammatory condition that affects the corners of the mouth, not the nostrils.
Correct Answer is C
Explanation
Choice A reason: While assistive personnel can help, it is empowering for the client to be as independent as possible.
Choice B reason: Social interaction is important for client wellbeing and should not be discouraged unless it interferes with eating.
Choice C reason: Describing the food placement as a clock is a common practice that helps visually impaired individuals locate their food independently.
Choice D reason: Small handled adaptive utensils may be helpful, but the priority is to enable the client to know the location of the food on the plate.
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