A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemicolectomy. Which of the following foods should the nurse instruct the client to avoid?

White bread

Fresh apples

Poached eggs

Answer and Explanation

The Correct Answer is B

Choice A reason:

White bread is generally low in fiber and easy to digest, making it less likely to cause symptoms of dumping syndrome. While whole grains are typically healthier, in the case of dumping syndrome, low-fiber foods like white bread can be better tolerated.

Choice B reason:

Fresh apples should be avoided because they are high in fiber and can be difficult to digest, potentially exacerbating symptoms of dumping syndrome. The high fiber content can lead to rapid gastric emptying and increased symptoms such as cramping, bloating, and diarrhea.

Choice C reason:

Poached eggs are a good source of protein and are generally well-tolerated by individuals with dumping syndrome. They are easy to digest and do not contribute to rapid gastric emptying, making them a suitable food choice.

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Correct Answer is D

Explanation

Choice A reason: Palpate the client’s pedal pulses

Palpating the client’s pedal pulses assesses the blood flow to the lower extremities but does not provide information about the client’s muscle strength. This action is important for evaluating circulation but is not relevant for determining strength.

Choice B reason: Ask the client how strong she feels today

Asking the client how strong she feels today provides subjective information about the client’s perception of her strength. While this can be useful, it does not offer an objective measure of muscle strength. Objective assessments are more reliable for determining the client’s actual strength.

Choice C reason: Ask the client to touch her finger to her nose

Asking the client to touch her finger to her nose assesses coordination and fine motor skills rather than muscle strength. This test is often used to evaluate neurological function but does not provide information about the strength of the muscles needed for ambulation.

Choice D reason: Ask the client to push her feet against the nurse’s palms

Asking the client to push her feet against the nurse’s palms is an effective way to assess the strength of the lower extremities. This action provides an objective measure of the client’s muscle strength, which is crucial for determining her ability to ambulate safely. This test helps the nurse evaluate whether the client has sufficient strength to stand and walk.

A. Implement a resolution. B. Evaluate the results. C. Brainstorm solutions. D. Identify the problem.

Correct Answer is D

Explanation

Choice A reason: Implement a resolution

Implementing a resolution without first understanding the root cause of the conflict can lead to ineffective solutions and may not address the underlying issues. It is essential to identify the problem first to ensure that any resolution is appropriate and effective.

Choice B reason: Evaluate the results

Evaluating the results is an important step in the conflict resolution process, but it comes after implementing a solution. Before any evaluation can take place, the problem must be identified, and a resolution must be implemented. Therefore, this step is not the first action to take.

Choice C reason: Brainstorm solutions

Brainstorming solutions is a critical part of resolving conflicts, but it should occur after the problem has been clearly identified. Without a clear understanding of the problem, brainstorming may not yield effective solutions. Identifying the problem ensures that the brainstorming session is focused and productive.

Choice D reason: Identify the problem

Identifying the problem is the first and most crucial step in resolving any conflict. Understanding the root cause of the conflict between the pharmacy and the staff nurses will provide a clear direction for developing effective solutions. This step involves gathering information, listening to all parties involved, and pinpointing the specific issues that need to be addressed.

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A nurse is providing nutritional teaching to a client who has dumping syndrome following a hemicolectomy. Which of the following foods should the nurse instruct the client to avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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