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 D
Explanation
Choice Arationale:
Albumin in the urine is not an indication of normal kidney function. The presence of albumin in the urine, known as albuminuria, is a sign of kidney damage, especially in individuals with diabetes. It's essential for individuals with diabetes to monitor and manage their kidney health, as kidney damage is a common complication.
Choice Brationale:
Blood glucose levels between 200 and 212 milligrams per deciliter are higher than the recommended target range for individuals with type 1 diabetes. Maintaining blood glucose levels within a healthy range (typically 80-130 mg/dL fasting) is important to prevent complications.
Choice C rationale:
An HbA1c level of five percent is unrealistically low and not achievable. The HbA1c level reflects the average blood glucose level over the past two to three months. While lower HbA1c levels are associated with better diabetes control, aiming for an HbA1c of five percent would pose a risk of hypoglycemia and potential complications.
Choice D rationale:
The statement "I will have ketones in my urine if my blood glucose is maintained at 190 milligrams per deciliter" demonstrates an understanding of the relationship between high blood glucose levels and ketone production. Elevated blood glucose levels can lead to the breakdown of fats for energy, resulting in the production of ketones, which can be detected in the urine. Ketones in the urine can be a sign of inadequate diabetes management and a risk of diabetic ketoacidosis (DKA).
Correct Answer is B
Explanation
Choice A rationale:
Caramel popcorn is not an appropriate choice for toddlers due to its high sugar content and potential choking hazard from hard or sticky pieces.
Choice B rationale:
Cooked spaghetti with sauce is an appropriate choice for toddlers. It provides carbohydrates for energy, and the sauce can contain vegetables and proteins, making it a balanced option.
Choice C rationale:
Steak cut into small pieces might not be suitable for toddlers, as it could be difficult for them to chew and may not provide the appropriate texture for their developing teeth.
Choice D rationale:
Hot dogs cut into fourths may pose a choking hazard for toddlers due to their cylindrical shape and potential difficulty in chewing. They are also processed meats, which are not the healthiest option for young children.
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