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 ["22.5"]
Explanation
The order is for potassium chloride 30 mEq. The available medication is potassium chloride 20 mEq/15mL. To calculate the amount to administer: Step 1 is: Set up a proportion to solve for the unknown quantity (X), which is the volume in mL to administer. The proportion is (20 mEq
/ 15 mL) = (30 mEq / X mL).
Step 2 is: Cross-multiply to solve for X. X = (30 mEq * 15 mL) ÷ 20 mEq.
Step 3 is: Calculate X. X = 22.5 mL. So, the nurse should administer 22.5 mL of potassium chloride.
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale
Omeprazole should be taken before eating a meal in the morning. This is because the drug works best when the stomach is empty, allowing it to effectively block the production of stomach acid.
Choice B rationale
It’s not necessary to avoid antacids while taking omeprazole. In fact, antacids can be used in combination with omeprazole if needed.
Choice C rationale
Patients should indeed report any abdominal pain, diarrhea, or bleeding that occurs while taking omeprazole. These could be signs of a serious side effect or complication.
Choice D rationale
The duration of treatment with omeprazole can vary depending on the condition being treated. For peptic ulcer disease, treatment typically lasts for 4-8 weeks, not just 3 weeks.
Choice E rationale
Omeprazole capsules can be opened and the contents sprinkled on food if needed. This can make the medication easier to swallow.
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