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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Intense cravings are a common symptom of cocaine withdrawal. Individuals withdrawing from cocaine often experience strong urges to use the drug again, as their bodies adjust to the absence of the substance.
B. Hyperactivity is more characteristic of cocaine intoxication rather than withdrawal. During withdrawal, individuals are more likely to experience fatigue and lethargy.
C. Being talkative is associated with cocaine use, not withdrawal. Cocaine stimulates the central nervous system, leading to increased talkativeness during intoxication, but withdrawal often involves a reduction in energy and social engagement.
D. Elation is a symptom of cocaine intoxication. During withdrawal, individuals are more likely to feel dysphoric, anxious, or depressed rather than elated.
Correct Answer is A
Explanation
A. Hoarseness in the voice following a thyroidectomy can be a sign of vocal cord damage or laryngeal nerve injury, which are potentially serious complications. The appropriate action is to notify the unit charge nurse to escalate the finding for further assessment by a physician or advanced practice provider.
B. Administering humidified oxygen does not specifically address the issue of hoarseness. While humidified oxygen might be beneficial for general respiratory comfort, it is not a targeted intervention for potential vocal cord damage.
C. Ensuring that the drainage device is compressed is important for managing surgical wounds but does not address or diagnose vocal cord issues. Hoarseness after thyroid surgery is more indicative of a potential complication rather than a drainage issue.
D. Obtaining ice chips does not address the underlying cause of the hoarseness and may not provide significant relief. The priority is to identify potential complications rather than offering symptomatic relief.
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