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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Dumping syndrome is a common complication after gastric surgery. It is a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. It’s called "dumping" because the contents of the stomach are "dumped" into the small intestine too quickly.
Choice B rationale
Hypothyroidism is not typically a complication of gastric surgery. Hypothyroidism is a condition in which the thyroid gland does not produce enough thyroid hormones. It is not directly related to gastric surgery.
Choice C rationale
While pulmonary embolism is a potential complication of any surgery due to the risk of blood clots, it is not specific to gastric surgery.
Choice D rationale
Urinary tract infections are not typically a complication of gastric surgery. They occur when bacteria enter the urinary tract, and are not directly related to gastric surgery.
Correct Answer is B
Explanation
Choice A rationale
While administering pain medication may provide temporary relief, it does not address the underlying issue of a perforated ulcer, which is a medical emergency.
Choice B rationale
Preparing the client for surgery is the priority action for a nurse when a perforated ulcer is suspected. A perforated ulcer is a medical emergency that often requires immediate surgery.
Choice C rationale
Initiating IV fluid resuscitation may be part of the management for a suspected perforated ulcer, but it is not the first priority. The first priority is to stabilize the patient and prepare for possible surgery.
Choice D rationale
Obtaining a stat abdominal X-ray may help confirm the diagnosis of a perforated ulcer, but it is not the first priority. The first priority is to stabilize the patient and prepare for possible surgery.
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