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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A 2-hour fasting period is insufficient for bronchoscopy preparation. Aspiration risk during sedation necessitates fasting for at least 6 to 8 hours before the procedure, depending on clinical guidelines, to ensure gastric contents do not enter the airway.
Choice B rationale
Resuming oral intake immediately after the procedure is unsafe. Clients must wait until the gag reflex returns, as sedation suppresses protective airway reflexes, significantly increasing aspiration risk if eating prematurely.
Choice C rationale
Frequent monitoring of vital signs is essential post-bronchoscopy, as complications like respiratory depression, bleeding, or pneumothorax can occur. Continuous assessment allows early detection and intervention, ensuring client safety during recovery.
Choice D rationale
Clients are typically positioned supine or semi-Fowler’s during bronchoscopy to optimize airway visualization. Placing the client on the left side is not a standard practice and may impede the procedural view for the practitioner.
Correct Answer is A
Explanation
Choice A rationale
Inspiratory stridor reflects airway obstruction, potentially life-threatening following bronchoscopy. Causes include vocal cord edema or laryngospasm. Prompt intervention ensures airway patency and oxygenation. Audible stridor indicates urgent escalation.
Choice B rationale
Sore throat is anticipated due to irritation from the bronchoscope. This resolves without treatment, differentiating it from alarming symptoms like respiratory difficulty.
Choice C rationale
Post-bronchoscopy fever is common due to airway manipulation. Low-grade fever under 38.6°C does not necessitate urgent evaluation unless persistent or accompanied by other symptoms.
Choice D rationale
Bloody sputum results from mucosal trauma during the procedure. Minimal streaking is benign and resolves spontaneously. It does not indicate complications. .
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