A nurse is reinforcing teaching about nutritional choices with a client who is postoperative following bariatric surgery.
To reduce the client's risk of dumping syndrome, which of the following instructions should the nurse include?

Use honey instead of white sugar.

Take sucralfate 30 minutes before eating.

Lie down for 30 minutes after eating.

Drink at least 100 milliliters of liquid with meals.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Honey has similar sugar content as white sugar and contributes to rapid gastric emptying, leading to dumping syndrome in postoperative bariatric surgery clients. Dumping syndrome results from a rapid influx of hyperosmolar contents into the intestines, causing osmotic fluid shifts and gastrointestinal symptoms.

Choice B rationale

Sucralfate is a medication used to treat ulcers and does not influence gastric emptying rates or reduce the risk of dumping syndrome. It does not mitigate the physiological process leading to dumping syndrome.

Choice C rationale

Lying down after meals slows gastric emptying and reduces the rapid movement of food into the small intestine. This decreases the risk of dumping syndrome by mitigating osmotic fluid shifts and symptoms such as nausea and diarrhea.

Choice D rationale

Drinking liquids with meals accelerates gastric emptying by diluting stomach contents, increasing the risk of dumping syndrome. The rapid transit of liquids and food promotes hyperosmolarity in the intestines and associated symptoms.

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Correct Answer is C

Explanation

Choice A rationale

Fasting is not required before a bone marrow aspiration, as the procedure does not involve anesthesia requiring an empty stomach. Preparation focuses on minimizing anxiety and ensuring access to the site, rather than dietary restrictions.

Choice B rationale

Local anesthetic agents are administered during a bone marrow aspiration to numb the insertion site and reduce pain. This intervention is crucial for client comfort and is standard practice in most healthcare facilities.

Choice C rationale

Pressure is applied to the aspiration site immediately after the procedure to control bleeding. Bone marrow aspiration involves penetrating the bone, and applying pressure helps achieve hemostasis and reduces the risk of complications such as hematoma formation.

Choice D rationale

The bone marrow is typically aspirated from the iliac crest (hip bone) rather than the femur. This site is preferred because it is more accessible, less painful for the client, and contains sufficient marrow for analysis.

A. The client should wear a mask during transport. B. The nurse should wear a mask during transport. C. The client should wear a gown during transport. D. The nurse should wear a gown during transport.

Correct Answer is A

Explanation

Choice A rationale

The client wearing a mask during transport helps minimize the risk of transmitting infectious droplets to others. It is the most effective precaution to uphold droplet isolation protocols and ensure safe transport in healthcare settings.

Choice B rationale

The nurse wearing a mask is standard PPE practice, but it does not address the primary goal of preventing the client from spreading infectious droplets during transportation. The client must be the primary focus of this preventive measure.

Choice C rationale

Wearing a gown is unnecessary for droplet precautions during transport. Droplet isolation measures primarily target respiratory secretions, and gowns are not effective for minimizing respiratory droplet dissemination.

Choice D rationale

Similar to Choice C, the nurse wearing a gown is not a droplet precaution strategy related to transportation. The focus remains on respiratory measures, specifically masking the client.

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A nurse is reinforcing teaching about nutritional choices with a client who is postoperative following bariatric surgery.To reduce the client's risk of dumping syndrome, which of the following instructions should the nurse include?

Nursing Test Bank

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A nurse is reinforcing teaching about nutritional choices with a client who is postoperative following bariatric surgery.
To reduce the client's risk of dumping syndrome, which of the following instructions should the nurse include?