A nurse is reinforcing teaching with a client who is newly diagnosed with dumping syndrome. Which of the following instructions should the nurse include in the teaching?
Remain upright for 30 minutes after eating.
Eliminate simple sugars.
Eat three large meals per day.
Drink water with meals.
The Correct Answer is B
Choice A reason: Remaining upright for 30 minutes after eating may help with digestion, but it is not specific to the management of dumping syndrome.
Choice B reason: Eliminating simple sugars is crucial in the management of dumping syndrome as they can cause rapid gastric emptying, leading to symptoms.
Choice C reason: Eating three large meals per day is not recommended for dumping syndrome; smaller, more frequent meals are advised to prevent symptoms.
Choice D reason: Drinking water with meals can exacerbate symptoms of dumping syndrome by increasing the speed of gastric emptying; it is better to drink fluids between meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A BUN level of 30 mg/dL is slightly above the normal range of 6 to 20 mg/dL, but it is not critically high and may not require immediate reporting to the provider.
Choice B reason: A respiratory rate of 12/min is within the normal range for adults, which is approximately 12 to 20 breaths per minute.
Choice C reason: A sinus rhythm of 95/min is a normal finding on a cardiac monitor postcoronary angiography and does not need to be reported.
Choice D reason: An aPTT of 25 seconds is below the normal range of approximately 30 to 40 seconds, indicating a risk of clotting and should be reported to the provider.
Correct Answer is A
Explanation
Choice A reason: Suctioning for less than 15 seconds is recommended to minimize the risk of hypoxia and other complications during tracheal suctioning.
Choice B reason: Setting the suction pressure dial between 80 and 120 may be too high and could cause trauma to the tracheal mucosa.
Choice C reason: Wrapping used suction catheters in a clean towel for later use is not recommended due to the risk of infection.
Choice D reason: Suctioning the mouth before the tracheostomy can introduce oral bacteria into the lower airways and should be avoided.
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