The nurse is educating a patient about bariatric surgery and dumping syndrome. Which statement indicates that the patient comprehends dumping syndrome?
I need to eat small frequent meals.
I need to sit up for 5 hours after each meal.
I can expect the symptoms to begin 5 hours after eating.
I should drink lots of fluids with meals.
The Correct Answer is A
Choice A rationale
Dumping syndrome is a condition that can occur after surgery to remove all or part of your stomach or after an operation to bypass your stomach to help you lose weight. It’s also known as rapid gastric emptying. Dumping syndrome occurs when food, especially sugar, moves from your stomach into your small intestine too quickly. One of the recommended dietary changes for managing dumping syndrome is eating smaller, more frequent meals. This helps to avoid
the rapid emptying of food into the small intestine, thereby preventing the symptoms of dumping syndrome.
Choice B rationale
Sitting up for 5 hours after each meal is not typically recommended for managing dumping syndrome. While it’s advised to take a short rest after eating, the duration doesn’t need to be as long as 5 hours.
Choice C rationale
The symptoms of dumping syndrome can begin soon after eating, especially if the meal is high in sugar. However, they typically start within 10 to 30 minutes, not 5 hours.
Choice D rationale
Drinking lots of fluids with meals is not recommended for those with dumping syndrome. In fact, it’s often advised to avoid drinking fluids until about 30 minutes after a meal to prevent triggering symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Elevating the head of the bed is a recommended strategy to minimize the effects of reflux during sleep. This position uses gravity to keep stomach acid from flowing back into the esophagus.
Choice B rationale
Eating a snack 1 hour before going to bed can actually worsen reflux symptoms. It’s generally recommended to avoid eating 2-3 hours before bedtime.
Choice C rationale
Alcohol can relax the lower esophageal sphincter, making it easier for stomach acid to reflux into the esophagus. Therefore, consuming alcohol before bed is not advisable.
Choice D rationale
Sleeping on the stomach with the head flat can exacerbate reflux symptoms. This position does not utilize gravity to keep stomach acid from flowing back into the esophagus.
Correct Answer is B
Explanation
Choice A rationale
While administering pain medication can provide temporary relief for a client with severe abdominal pain, it does not address the underlying issue of a perforated peptic ulcer. Pain medication should be administered as part of a comprehensive treatment plan, but it should not be the first step in managing a perforated peptic ulcer.
Choice B rationale
Initiating IV fluid resuscitation is a crucial first step in the management of a client presenting with severe abdominal pain and a history of peptic ulcer disease. A perforated peptic ulcer is a medical emergency that can lead to infection and shock, and IV fluid resuscitation can help stabilize the client’s condition while further diagnostic and therapeutic measures are taken.
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