In order to prevent dumping syndrome after Gastric Bypass surgery, the nurse will instruct the client to....

Take a brisk walk after eating.

Avoid excessive sugar and carbohydrates.

Increase fluid intake with meals.

Take the proton pump inhibitors as prescribed.

Answer and Explanation

The Correct Answer is B

Dumping syndrome is a common complication after Gastric Bypass surgery, where food moves too quickly from the stomach to the small intestine. It occurs when the undigested contents of the stomach are "dumped" rapidly into the small intestine, leading to symptoms such as nausea, vomiting, abdominal cramps, diarrhea, lightheadedness, and sweating.

To manage dumping syndrome, it is important for the client to avoid foods and beverages that are high in sugar and carbohydrates. Consuming these types of foods can trigger rapid gastric emptying and exacerbate the symptoms. Instead, the client should focus on a well-balanced diet that includes lean proteins, healthy fats, and complex carbohydrates.

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Correct Answer is B

Explanation

According to the given information, Aydan's insulin lispro (Humalog) dosage is 1 unit per 50 grams of carbohydrates eaten. As Aydan has just consumed 150 grams of carbs for lunch, we can calculate the insulin dose as follows:

Insulin dose = Carbohydrates eaten / Insulin-to-carbohydrate ratio Insulin dose = 150 grams / 50 grams/unit

Insulin dose = 3 units

Therefore, the nurse should prepare to administer 3 units of Aydan's prescribed rapid-acting insulin (Insulin lispro) to cover the carbohydrates he consumed for lunch. The long-acting insulin (Glargine) is typically given at bedtime to provide a basal insulin level and is not directly related to meal coverage.

A. The patient uses crutches with a swing-to gait. B. The patient sits straight up on the edge of the bed. C. the patient bends over the sink while brushing teeth. D. The patient leans forward to pull on shoes and socks

Correct Answer is C

Explanation

The patient bending over the sink while brushing teeth requires intervention by the nurse. After hip arthroplasty using the posterior approach, the patient should avoid bending at the hip greater than 90 degrees to prevent dislocation of the prosthesis. The nurse should instruct the patient to bend at the knees instead of the hips while brushing teeth or doing any other activity that requires bending. The other actions mentioned in the options are appropriate for a patient after hip arthroplasty.

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In order to prevent dumping syndrome after Gastric Bypass surgery, the nurse will instruct the client to....

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse?

Correct Answer is C

Explanation

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