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 B
Explanation
Choice A reason: An ammonia level of 55 mcg/dL is within the normal range and does not need to be reported immediately.
Choice B reason: A platelet count of 60,000/mm is significantly lower than the normal range (150,000 to 450,000/mm) and should be reported as it may indicate an increased risk of bleeding during the biopsy.
Choice C reason: A bilirubin level of 1.0 mg/dL is within the normal range for adults and does not need to be reported.
Choice D reason: An AST level of 34 units/L is within the normal range and does not need to be reported.
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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