A nurse is providing teaching to a client who has dumping syndrome due to gastric bypass surgery.
Which of the following dietary modifications should the nurse recommend?
Eat small, frequent meals throughout the day
Drink fluids with meals rather than between meals
Increase intake of simple carbohydrates such as fruit juice
Avoid foods that are high in fat and protein.
The Correct Answer is A
Eat small, frequent meals throughout the day. This will help prevent dumping syndrome, which is a condition that occurs when food moves too fast from the stomach to the duodenum, causing symptoms such as abdominal cramps, diarrhea, nausea, vomiting, flushing, dizziness and rapid heart rate. Eating small, frequent meals will reduce the amount of food that enters the small intestine at once and slow down gastric emptying.
Choice B is wrong because drinking fluids with meals rather than between meals will increase the volume of food that enters the small intestine and worsen dumping syndrome symptoms. Fluids should be consumed at least 30 minutes after a meal.
Choice C is wrong because increasing intake of simple carbohydrates such as fruit juice will cause a rapid rise and fall of blood sugar levels, leading to late dumping syndrome symptoms such as sweating, hunger, low blood sugar, fatigue, dizziness and weakness. Simple carbohydrates should be avoided and replaced with complex carbohydrates such as whole grains, fruits and vegetables.
Choice D is wrong because avoiding foods that are high in fat and protein will not help prevent dumping syndrome. In fact, fat and protein can slow down gastric emptying and stabilize blood sugar levels. A moderate amount of fat and protein should be included in each meal. However, too much fat at one time can have the opposite effect and trigger dumping syndrome symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
All of these conditions would warrant a referral to specialized care for severe diseases or complications related to nutrition and feeding.
Choice A is wrong because phenylketonuria (PKU) in the infant is a genetic disorder that causes an amino acid called phenylalanine to build up in the body.This can lead to intellectual disability, seizures, and other neurological problems if not treated with a special diet that limits phenylalanine.
Choice B is wrong because gestational diabetes mellitus (GDM) in the mother is a condition where the mother has high blood sugar levels during pregnancy.This can increase the risk of complications for both the mother and the baby, such as preeclampsia, macrosomia, birth injuries, and neonatal hypoglycemia.
Choice C is wrong because cleft lip or palate in the infant is a birth defect where the upper lip or roof of the mouth does not form properly.This can affect the infant’s ability to feed, speak, and breathe, and may require surgery and other interventions.
Correct Answer is B
Explanation
Cover the newborn’s eyes with a mask or shield.This is because phototherapy can cause eye damage and the mask or shield protects the newborn’s eyes from the light.
Some additional explanations are:
• Choice A is wrong because increasing fluid intake by 25% to prevent dehydration is not necessary for a newborn receiving phototherapy.The newborn should be fed on demand or according to a regular schedule and monitored for signs of dehydration such as poor skin turgor, dry mucous membranes, sunken fontanels, and decreased urine output.
• Choice C is wrong because applying lotion or oil to the newborn’s skin to prevent drying is not recommended for a newborn receiving phototherapy.Lotion or oil can increase the absorption of light and cause skin burns.
• Choice D is wrong because turning off the phototherapy lights during feedings is not advised for a newborn receiving phototherapy.The lights should be on continuously to maximize the effectiveness of the treatment and reduce the duration of exposure.
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