A nurse is reinforcing teaching with a patient who has dumping syndrome following gastric surgery. Which of the following information should the nurse reinforce in the teaching?
Eat a bedtime snack that contains a milk product.
Increase protein in the diet.
Drink at least one glass of water with each meal.
Eat three moderate-sized meals a day.
The Correct Answer is B
Choice A rationale
Eating a bedtime snack that contains a milk product is not typically recommended for patients with dumping syndrome. Dairy products can be high in fat and sugar, which can exacerbate symptoms.
Choice B rationale
Increasing protein in the diet is often recommended for patients with dumping syndrome. Protein helps to slow the movement of food through the stomach, which can help to prevent the rapid emptying that leads to symptoms.
Choice C rationale
Drinking at least one glass of water with each meal is not typically recommended for patients with dumping syndrome. Drinking fluids during meals can increase the speed at which food leaves the stomach, potentially worsening symptoms.
Choice D rationale
Eating three moderate-sized meals a day is not typically recommended for patients with dumping syndrome. Instead, patients are often advised to eat several small meals throughout the day to prevent overloading the stomach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Sucralfate is not commonly used to treat irritable bowel syndrome. Irritable bowel syndrome is typically managed with dietary modifications, stress management, and medications to control specific symptoms such as constipation or diarrhea.
Choice B rationale
Sucralfate is not commonly used to treat Crohn’s disease. Crohn’s disease is an inflammatory bowel disease that is typically managed with anti-inflammatory medications, immune system suppressors, and antibiotics.
Choice C rationale
Sucralfate is commonly used to treat gastric ulcers. It works by forming a protective barrier over the ulcer, which helps protect the ulcer from further damage by stomach acid and allows it to heal.
Choice D rationale
While sucralfate can be used to treat symptoms of gastroesophageal reflux disease (GERD), it is not the first-line treatment. Other medications, such as proton pump inhibitors and H2 blockers, are typically used first.
Correct Answer is B
Explanation
Choice A rationale
While allowing grieving is an important aspect of holistic care for a client with esophageal cancer, it is not the priority nursing intervention. Emotional support and counseling are crucial, but they do not take precedence over interventions aimed at maintaining the client’s physical health.
Choice B rationale
Preventing aspiration is the priority nursing intervention for a client with esophageal cancer. Aspiration, or the inhalation of food, stomach acid, or saliva into the lungs, can lead to pneumonia and other serious complications. Therefore, measures to prevent aspiration, such as educating the client on safe swallowing techniques, elevating the head of the bed during meals, and monitoring for signs of aspiration, are crucial.
Choice C rationale
Managing pain relief is an important aspect of care for a client with esophageal cancer, but it is not the priority nursing intervention. Pain management strategies, such as administering prescribed analgesics and providing comfort measures, are part of a comprehensive care plan
but do not take precedence over interventions aimed at preventing immediate life-threatening complications like aspiration.
Choice D rationale
Maintaining nutritional intake is an important aspect of care for a client with esophageal cancer, but it is not the priority nursing intervention. Nutritional support, such as providing a balanced diet, encouraging small frequent meals, and possibly arranging for a consultation with a dietitian, are important but do not take precedence over interventions aimed at preventing immediate life-threatening complications like aspiration.
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