The nurse is caring for a client who has developed dumping syndrome while recovering from a bariatric surgery. What recommendation should the nurse make to the client?

Drink a minimum of 12 ounces of fluid with each meal.

Choose foods that are high in simple carbohydrates.

Stay upright when eating and for 30 minutes afterward.

Eat several small meals daily spaced at equal intervals.

Answer and Explanation

The Correct Answer is D

Choice A reason: Drinking a minimum of 12 ounces of fluid with each meal is not recommended for a client who has dumping syndrome. Fluids can increase the gastric volume and accelerate the gastric emptying, leading to more severe symptoms. The nurse should advise the client to drink fluids between meals, not with meals.

Choice B reason: Choosing foods that are high in simple carbohydrates is not recommended for a client who has dumping syndrome. Simple carbohydrates can cause a rapid rise and fall of blood glucose levels, resulting in hypoglycemia and weakness. The nurse should advise the client to choose foods that are high in protein and fat, and low in sugar.

Choice C reason: Staying upright when eating and for 30 minutes afterward is not recommended for a client who has dumping syndrome. This position can facilitate the gastric emptying and worsen the symptoms. The nurse should advise the client to lie down after eating to slow down the gastric emptying.

Choice D reason: Eating several small meals daily spaced at equal intervals is recommended for a client who has dumping syndrome. This can help reduce the gastric volume and pressure, and prevent the rapid delivery of food into the small intestine. The nurse should advise the client to eat four to six small meals per day, and avoid skipping meals.

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Correct Answer is C

Explanation

Choice A reason: Ulcerative colitis is not a complication of diverticulitis. Ulcerative colitis is a chronic inflammatory bowel disease that causes ulcers and inflammation in the colon and rectum. Diverticulitis is an acute condition that occurs when small pouches called diverticula in the colon become infected or inflamed.

Choice B reason: Dysphagia is not a complication of diverticulitis. Dysphagia is a term for difficulty swallowing, which can have many causes, such as stroke, nerve damage, or esophageal cancer. Diverticulitis affects the lower part of the digestive tract, not the upper part.

Choice C reason: Peritonitis is a complication of diverticulitis. Peritonitis is an inflammation of the peritoneum, the membrane that lines the abdominal cavity. It can be caused by a perforation or rupture of a diverticulum, which allows bacteria and fecal matter to enter the peritoneal space. Peritonitis is a serious and life-threatening condition that requires immediate medical attention.

Choice D reason: Crohn's disease is not a complication of diverticulitis. Crohn's disease is a chronic inflammatory bowel disease that can affect any part of the digestive tract, causing ulcers, fistulas, and strictures. Diverticulitis is an acute condition that affects only the colon, not the entire digestive tract.

A. Oily stools are common, especially when excessive fat is consumed. B. Many patients note having an increase of gas and flatus. C. Constipation is a common side effect with this medication. D. Some patients report the development of fecal incontinence. E. This medication doesn't really have any side effects because you can buy it over the counter.

Correct Answer is ["A","B","D"]

Explanation

Choice A reason: Oily stools are common, especially when excessive fat is consumed, because orlistat blocks the absorption of fat in the intestines. The undigested fat is then eliminated in the stool, making it oily, greasy, or foul-smelling.

Choice B reason: Many patients note having an increase of gas and flatus, because orlistat can also interfere with the digestion of carbohydrates and proteins, causing fermentation and gas production in the colon.

Choice C reason: Constipation is not a common side effect with this medication. In fact, orlistat may cause the opposite effect of diarrhea, as the unabsorbed fat can irritate the bowel and increase the motility.

Choice D reason: Some patients report the development of fecal incontinence, because orlistat can cause unpredictable bowel movements and difficulty in controlling the passage of stool, especially if the patient consumes a high-fat diet.

Choice E reason: This medication does have side effects, even though it can be bought over the counter. Orlistat is a prescription-strength drug that can cause serious adverse reactions, such as liver damage, kidney stones, gallbladder problems, and vitamin deficiencies. The over-the-counter version is a lower dose than the prescription one, but it still requires medical supervision and lifestyle changes.

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The nurse is caring for a client who has developed dumping syndrome while recovering from a bariatric surgery. What recommendation should the nurse make to the client?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has diverticulitis. The nurse should plan to monitor the client for which of the following complications of diverticulitis?

Correct Answer is C

Explanation

A client with obesity is prescribed orlistat for weight loss. The client asks the nurse, "I understand the medication prevents digestion of fat, but what side effects does this cause?" Which of the following responses by the nurse are correct? SELECT ALL THAT APPLY

Correct Answer is ["A","B","D"]

Explanation

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