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 ["B","E"]
Explanation
A. Urinalysis is not directly related to evaluating the effectiveness of an antibiotic for a respiratory tract infection.
B. Sputum culture and sensitivity are crucial in determining the specific bacteria causing the infection and assessing the antibiotic’s effectiveness in eradicating the pathogen.
C. Prothrombin time is related to blood clotting and is not relevant to monitoring the effectiveness of an antibiotic for a respiratory infection.
D. Serum potassium is important for monitoring electrolyte balance but does not directly evaluate the effectiveness of an antibiotic.
E. White blood cell count is a key indicator of infection and inflammation; a decrease in WBC count suggests that the antibiotic is effectively combating the infection.
F. Capillary glucose monitoring is more relevant to diabetic management and is not used to evaluate antibiotic effectiveness.
Correct Answer is D
Explanation
A. Monitoring daily sodium intake is important for managing AKI, but it is not the immediate priority when addressing acute changes in heart rate and blood pressure.
B. Recording usual eating patterns is not relevant to the immediate concern of elevated heart rate and blood pressure in the context of AKI.
C. Documenting abdominal girth is relevant for assessing fluid status and potential complications like ascites, but it is not the first priority for addressing the acute symptoms of elevated heart rate and blood pressure.
D. Measuring and documenting urinary output is the most critical intervention because it provides essential information on kidney function and fluid balance, which directly impacts heart rate and blood pressure management in AKI.
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