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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The MMR vaccine is typically administered during childhood. Adults may need a booster if they have not been vaccinated or if there is an outbreak, but it is not routinely recommended for all older adults.
Choice B reason: The HPV vaccine is recommended for individuals up to age 26, with some guidelines extending to age 45 for those not previously vaccinated. It is not typically recommended for older adults beyond this age range.
Choice C reason: Tuberculosis vaccines are not routinely recommended in the United States for adults unless they are at high risk or have not been previously vaccinated and are traveling to countries where tuberculosis is common.
Choice D reason: The pneumococcal vaccine is recommended for all adults over the age of 65 to protect against pneumococcal diseases such as pneumonia, meningitis, and bloodstream infections.
Correct Answer is D
Explanation
Choice A reason: A temperature of 37.3°C (99.1°F) is slightly elevated but not necessarily indicative of a bladder infection without other symptoms.
Choice B reason: A WBC count of 9,000/mm is within the normal range (4,500 to 11,000 WBC/mm) and does not specifically suggest a bladder infection.
Choice C reason: Diminished reflexes are not typically associated with bladder infections and may indicate neurological issues.
Choice D reason: In older adults, a change in mental status can be a sign of infection, including a bladder infection, especially when other typical symptoms may not be present.
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