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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
The statement “I will take this medication with an antacid” is incorrect. Sucralfate should not be taken simultaneously with antacids because antacids can interfere with the effectiveness of sucralfate. If antacids are needed, they should be taken at least 30 minutes before or after sucralfate.
Choice B reason:
The statement “I will reduce my fluid intake with this medication” is incorrect. There is no need to reduce fluid intake while taking sucralfate. In fact, maintaining adequate hydration is important for overall health and can help with the medication’s effectiveness.
Choice C reason:
The statement “I will take this medication 1 hour before meals and at bedtime” is correct. Sucralfate works best when taken on an empty stomach, typically 1 hour before meals and at bedtime. This timing helps the medication form a protective barrier over the ulcer, promoting healing.
Choice D reason:
The statement “I will take this medication as needed to reduce pain” is incorrect. Sucralfate is not intended to be taken on an as-needed basis for pain relief. It should be taken regularly as prescribed to effectively treat and heal the ulcer.
Correct Answer is B
Explanation
Choice A reason: Cardiac glycosides are primarily used to treat heart conditions such as heart failure and atrial fibrillation. They do not typically affect bone density or contribute to osteoporosis.
Choice B reason: Thyroid hormones can increase the risk of osteoporosis, especially if taken in excess. Over-replacement of thyroid hormone can accelerate bone loss, leading to decreased bone density and increased fracture risk.
Choice C reason: Anticoagulants are used to prevent blood clots but are not generally associated with an increased risk of osteoporosis. Their primary side effects are related to bleeding and bruising.
Choice D reason: NSAIDs (nonsteroidal anti-inflammatory drugs) are used to reduce inflammation and pain. They do not typically affect bone density or contribute to osteoporosis.
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