A nurse is providing instructions to a patient who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include?

Drink at least one glass of water with each meal.

Increase protein in your diet.

Eat three moderate-sized meals a day.

Eat a bedtime snack that contains a milk product.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Drinking a glass of water with each meal is not typically recommended for patients with dumping syndrome. In fact, it’s often suggested to avoid drinking liquids until at least 30 minutes after a meal.
Choice B rationale
Increasing protein in the diet is indeed a good recommendation for a patient with dumping syndrome. High-protein foods can help to slow the rate of gastric emptying and reduce symptoms.
Choice C rationale
Eating three moderate-sized meals a day might not be the best advice for a patient with dumping syndrome. Instead, it’s often recommended to eat smaller, more frequent meals throughout the day.
Choice D rationale
Eating a bedtime snack that contains a milk product is not typically recommended for patients with dumping syndrome. Dairy products can sometimes exacerbate symptoms.

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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.

A. Urea levels B. Helicobacter pylori antibodies C. Gastrin levels D. Pepsinogen levels . .

Correct Answer is A

Explanation

Choice A rationale
The UREA breath test is used to detect Helicobacter pylori (H. pylori), a type of bacteria that may infect the stomach and is a main cause of ulcers in both the stomach and duodenum (the first part of the small intestine).
H. pylori produces an enzyme called urease, which breaks urea down into ammonia and carbon dioxide. During the test, a tablet containing urea is swallowed and the amount of exhaled carbon dioxide is measured. This indicates the presence of H. pylori in the stomach. Therefore, the UREA breath test measures urea levels to determine if H. pylori is present.

Choice B rationale
While it is true that the presence of Helicobacter pylori antibodies in the blood can indicate an
H. pylori infection, this is typically detected using a blood test, not a UREA breath test. The UREA breath test specifically measures the amount of carbon dioxide in your breath after you drink a special solution containing urea.
H. pylori bacteria break down urea into carbon dioxide, and excess carbon dioxide in your breath is a sign of an H. pylori infection. Therefore, while Helicobacter pylori antibodies can indicate an H. pylori infection, they are not the lab value that the UREA breath test measures to determine if H. pylori is present.
Choice C rationale
Gastrin levels are not measured in a UREA breath test. Gastrin is a hormone that stimulates the production of gastric acid, which helps the stomach digest food. While gastrin levels can be elevated in individuals with certain conditions, such as gastrinomas or Zollinger-Ellison syndrome, they are not directly related to H. pylori infections or measured in a UREA breath test.
Choice D rationale
Pepsinogen levels are not measured in a UREA breath test. Pepsinogen is a precursor enzyme (zymogen) produced by the gastric chief cells, and it is converted to the enzyme pepsin in the presence of stomach acid. While pepsinogen levels can be used to assess certain conditions, such as atrophic gastritis, they are not directly related to H. pylori infections or measured in a UREA breath test.

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A nurse is providing instructions to a patient who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include?

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