The practical nurse (PN) is preparing a client for discharge after a gastric bypass. Prior to discharge, which information should the PN reinforce with the client to prevent dumping syndrome?

Eliminate citrus drinks from diet.

Consume fluids 30 minutes to one hour after meals.

Increase intake of carbonated fluids after meals.

Avoid drinking caffeinated beverages.

Answer and Explanation

The Correct Answer is B

A. Eliminating citrus drinks is not specifically related to preventing dumping syndrome. While citrus drinks might irritate the stomach, the main dietary consideration for dumping syndrome is the timing of fluid intake.
B. Consuming fluids 30 minutes to one hour after meals helps prevent dumping syndrome. Drinking fluids too close to meal times can increase the risk of dumping syndrome by accelerating gastric emptying.
C. Increasing the intake of carbonated fluids after meals is not recommended for preventing dumping syndrome. Carbonated drinks can exacerbate symptoms rather than help prevent them.
D. Avoiding caffeinated beverages can be part of general dietary recommendations, but it is not the primary measure to prevent dumping syndrome. The timing of fluid intake relative to meals is more crucial.

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Correct Answer is B

Explanation

A. Administering a PRN benzodiazepine is a reactive measure and might not be the best first line of intervention for managing the client's restlessness and confusion, as it does not address the underlying issue.
B. Assigning the client to a room close to the nurses' station can help manage restlessness, confusion, and agitation by ensuring the client is monitored more closely and can receive timely interventions.
C. Postponing nighttime medications might not address the immediate issues of restlessness and confusion, and could potentially disrupt the client's sleep-wake cycle.
D. Asking family members to stay with the client provides support but may not be a feasible or consistent solution for managing the client’s evening agitation and restlessness.

A. Body temperature. B. Bowel sounds. C. Mental status. D. Skin integrity.

Correct Answer is C

Explanation

A. Body temperature is not directly relevant to the administration of zolpidem. Zolpidem is a sleep aid, so assessing body temperature is not necessary for this medication.
B. Bowel sounds are important for gastrointestinal assessments but are not related to the immediate considerations for zolpidem administration.
C. Assessing mental status is crucial before administering zolpidem because this medication can cause side effects like drowsiness, confusion, or impaired cognition. Ensuring the client’s mental status is appropriate helps prevent adverse effects.
D. Skin integrity is important for general health assessments but is not specifically relevant before administering a sleep aid like zolpidem.

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The practical nurse (PN) is preparing a client for discharge after a gastric bypass. Prior to discharge, which information should the PN reinforce with the client to prevent dumping syndrome?

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Naxlex Comprehensive Predictor Exams

An older adult client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused, and agitated. Which intervention is most important for the PN to implement?

Correct Answer is B

Explanation

Before administering zolpidem at bedtime, which client assessment should the practical nurse (PN) complete?

Correct Answer is C

Explanation

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