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 A rationale:
Gelatin is not a complete protein source. Gelatin is derived from animal collagen and lacks several essential amino acids, making it an incomplete protein. It is not suitable as a primary protein source in the diet.
Choice B rationale:
Cashews are not a complete protein source. While cashews contain protein, they do not provide all the essential amino acids in sufficient amounts to be considered a complete protein. Complementing them with other protein sources can help achieve a balanced amino acid profile.
Choice C rationale:
Black-eyed peas are not a complete protein source on their own. While they contain protein, they are lacking in certain essential amino acids. To create a complete protein, black-eyed peas should be combined with other complementary protein sources in the diet.
Choice D rationale:
Soy milk is a complete protein source. It contains all the essential amino acids in adequate amounts, making it comparable to animal-based proteins. Soy milk is a suitable option for individuals looking for plant-based protein alternatives or those with dietary restrictions.
Correct Answer is A
Explanation
Choice A rationale:
Limiting protein intake (Choice A) is the correct recommendation for a client with a new diagnosis of chronic kidney disease. In chronic kidney disease, the kidneys have reduced filtration capacity, and excess protein intake can lead to the accumulation of waste products that the kidneys struggle to eliminate. Restricting protein intake helps reduce the strain on the kidneys and minimizes the buildup of waste.
Choice B rationale:
Increasing potassium intake (Choice B) is not a suitable recommendation for a client with chronic kidney disease. In fact, individuals with kidney disease often need to closely monitor and restrict their potassium intake because impaired kidney function can lead to hyperkalemia, a condition characterized by elevated levels of potassium in the blood.
Choice Drationale:
Increasing phosphorus intake (Choice D) is not a proper recommendation for a client with chronic kidney disease. Similar to potassium, individuals with kidney disease typically need to limit phosphorus intake because the kidneys play a role in regulating phosphorus levels in the body. Elevated phosphorus levels can lead to bone and cardiovascular complications.
Choice Crationale:
Limiting calcium intake (Choice C) might be relevant in specific cases, such as if a client has hypercalcemia, but it is not a common recommendation for all clients with chronic kidney disease. Calcium and phosphorus metabolism are closely linked, and imbalances in these minerals can have negative effects on bone health. Therefore, it's important to manage calcium and phosphorus intake together.
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