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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

CD4 T-cell count evaluates immune function, not nutritional intake. Nutritional deficiencies do not directly affect CD4 T-cell counts unless severe malnutrition impacts immune function over time.

Choice B rationale

Albumin is a protein produced by the liver that reflects long-term nutritional status. Normal albumin levels (3.5-5.0 g/dL) indicate adequate protein intake and nutritional sufficiency. Low levels suggest malnutrition or protein deficiency.

Choice C rationale

Lipase is an enzyme involved in fat digestion and does not reflect overall nutritional status. Monitoring lipase levels is specific to pancreatic function or disorders rather than nutritional intake.

Choice D rationale

Creatinine clearance measures kidney function and is not an indicator of nutritional adequacy. It evaluates renal filtration and is influenced by muscle mass rather than nutritional intake.

A. Cervical cancer screenings should begin at age 40. B. You should get a Papanicolaou (Pap) test and human papillomavirus test every five years. C. If you are immunized against human papillomavirus, you don't need cervical cancer screenings. D. Plan to continue cervical cancer screenings for the rest of your life.

Correct Answer is B

Explanation

Choice A rationale

Cervical cancer screenings are recommended to begin at age 21, regardless of sexual history. Delaying until age 40 overlooks guidelines that target the detection of precancerous changes earlier in life, maximizing prevention efforts.

Choice B rationale

The combination of Pap and HPV tests every five years from ages 30 to 65 aligns with current recommendations. HPV is a critical etiological agent, and co-testing enhances sensitivity for detecting high-risk oncogenic strains or cellular abnormalities.

Choice C rationale

Immunization against HPV significantly reduces cervical cancer risk but does not eliminate it. Screening remains critical due to the vaccine's limited coverage of HPV types and possible pre-immunization exposure.

Choice D rationale

Lifetime screenings are not necessary unless there are risk factors like HIV or previous abnormal results. Guidelines recommend stopping screening after age 65 for women with adequate prior negative results.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has anorexia related to AIDS.Which of the following laboratory values should the nurse monitor to confirm the client's nutritional intake is adequate?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a 30-year-old client who is concerned about cervical cancer.Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse is assisting with teaching a group of newly licensed nurses about medication administration.The nurse should include that which of the following medications is administered using the Z-track method?

A nurse is collecting data from a client who has iron-deficiency anemia.Which of the following should the nurse monitor for the clinical manifestation of cheilosis?

A nurse is caring for a client who has a tracheostomy tube.Upon data collection, the nurse observes the client is restless and hears crackles in the lungs.Which of the following interventions should the nurse take?

A nurse is assisting in the care of a client who has the hepatitis A virus.Which of the following modes of transmission should the nurse identify as how the client acquired the virus?

A nurse is reinforcing bladder management instructions with a client who has urinary incontinence.Which of the following statements by the client indicates an understanding?

A nurse is checking the skin of a client who has chronic venous insufficiency.Which of the following findings should the nurse identify as a venous stasis ulcer?

A nurse is collecting data from a client who is taking enoxaparin.The client reports starting the use of dietary supplements.The nurse should report the use of which of the following supplements to the provider?

A nurse is reinforcing teaching with a client who is premenopausal.Which of the following statements by the nurse is appropriate regarding breast self-examinations?

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?