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.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Carcinoembryonic Antigen (CEA) is a protein used as a tumor marker, particularly for cancers of the gastrointestinal tract. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice B rationale
B12 level is important for nerve function and the formation of red blood cells. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice C rationale
Electrolyte imbalance is the correct answer. Gastrointestinal illnesses often cause symptoms such as vomiting and diarrhea, which can lead to significant loss of fluids and electrolytes.
Monitoring electrolyte levels is crucial in these cases to prevent complications related to volume depletion.
Choice D rationale
Hemoglobin level is an indicator of the amount of oxygen-carrying protein in the blood. While it is an important lab value, it is not the most relevant in the context of volume depletion due to gastrointestinal illnesses.
Correct Answer is B
Explanation
Choice A rationale
Elevating the patient’s legs on two pillows is not typically a necessary action after a liver biopsy. This position does not directly aid in the recovery or prevention of complications related to a liver biopsy.
Choice B rationale
Positioning the patient on the right side after a liver biopsy is a common nursing intervention. This position applies pressure to the liver biopsy site, which can help minimize bleeding and facilitate clot formation at the biopsy site.
Choice C rationale
Keeping the patient in a high Fowler’s position is not typically recommended after a liver biopsy. This position does not provide direct benefits in terms of recovery or prevention of complications from a liver biopsy.
Choice D rationale
Ambulating the patient twice each shift is not typically recommended immediately after a liver biopsy. Rest is usually advised to allow the liver tissue to heal and to minimize the risk of bleeding.
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