A nurse is providing teaching to a client who has dumping syndrome. Which of the following instructions should the nurse include in the teaching?
"Eat protein at each meal."
"Drink beverages with meals."
"Consume three large meals daily."
"Sit up in bed after meals."
The Correct Answer is A
The correct answer is choice A. “Eat protein at each meal.”
Choice A rationale:
Eating protein at each meal can help slow down the digestion process and reduce the symptoms of dumping syndrome. Protein takes longer to digest compared to carbohydrates, which can help prevent the rapid emptying of the stomach contents into the small intestine.
Choice B rationale:
Drinking beverages with meals is not recommended for clients with dumping syndrome. Fluids can increase the speed at which food moves through the stomach, exacerbating symptoms. It is generally advised to drink fluids between meals rather than with meals.
Choice C rationale:
Consuming three large meals daily is not advisable for clients with dumping syndrome. Large meals can cause a rapid emptying of stomach contents into the small intestine, leading to symptoms. Instead, eating smaller, more frequent meals is recommended to help manage the condition.
Choice D rationale:
Sitting up in bed after meals is not recommended for managing dumping syndrome. In fact, lying down for about 30 minutes after eating can help slow the movement of food through the digestive tract and reduce symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The client's statement, "I can choose an avocado dip instead of salsa," indicates an understanding of the teaching about a low-saturated fat diet. Avocado is a source of healthy monounsaturated fats, which are preferred over saturated fats. This choice aligns with the goal of reducing saturated fat intake, which is important for cardiovascular health. Avocado dip is a better choice than salsa in this context due to its healthier fat content.
Choice B rationale:
The statement "I can eat the skin on poultry if it is broiled" is not indicative of an understanding of a low-saturated fat diet. Poultry skin is high in saturated fat, and even though broiling is a healthier cooking method compared to frying, the saturated fat content in the skin remains a concern.
Choice C rationale:
The statement "I will use margarine on my waffles" is not aligned with the teaching of a low-saturated fat diet. Most margarines contain trans fats or unhealthy saturated fats, which can be detrimental to cardiovascular health. Using margarine on waffles would likely contribute to the intake of unhealthy fats.
Choice D rationale:
The statement "I will include 7 ounces of fish in my diet weekly" does not reflect an understanding of a low-saturated fat diet. While fish is generally a healthy protein source, this statement doesn't specifically address saturated fat reduction. The type of fish and its preparation method can influence the saturated fat content, so simply including a certain amount of fish does not guarantee adherence to a low-saturated fat diet.
Correct Answer is A
Explanation
Choice A rationale:
Pudding is a suitable choice for a client with dysphagia requiring a level 1 dysphagia diet. Level 1 dysphagia diet consists of pureed, cohesive, and pudding-like foods that are easy to swallow and safe for individuals with swallowing difficulties. Pudding's consistency aligns with this requirement, making it a safe option for the client.
Choice B rationale:
Milk is not an appropriate choice for a level 1 dysphagia diet. Milk is a thin liquid that poses a risk of aspiration for individuals with dysphagia. It does not meet the consistency requirements for safe consumption in this case.
Choice C rationale:
Chicken noodle soup is not suitable for a level 1 dysphagia diet. The soup contains solid ingredients such as noodles and chicken pieces, which can be difficult for individuals with dysphagia to swallow safely. It is important to avoid foods with mixed textures for such clients.
Choice D rationale:
Apple juice is also not appropriate for a level 1 dysphagia diet. Like milk, apple juice is a thin liquid that can increase the risk of aspiration for individuals with swallowing difficulties. It lacks the appropriate consistency for safe consumption by those with dysphagia.
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