The nurse determines that dietary instructions for a client who had a partial gastrectomy were effective when the client states, "I:
should avoid drinking beverages with my meals.”.
should eat three large meals and avoid a snack every day.”.
can have some type of bread with every meal.”.
will not lie down on my left side after eating.”. .
The Correct Answer is A
Choice A rationale
Avoiding beverages with meals can help prevent dumping syndrome, a common complication after gastrectomy where food moves too quickly into the small intestine.
Choice B rationale
Eating three large meals a day is not recommended after gastrectomy as it increases the risk of dumping syndrome. Small, frequent meals are preferred.
Choice C rationale
Having bread with every meal may not be necessary and can contribute to dumping syndrome if consumed in large quantities.
Choice D rationale
Lying down after eating, particularly on the left side, can worsen symptoms by allowing food to move too quickly through the gastrointestinal tract. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Weight gain is not commonly associated with chronic gastritis. Chronic gastritis typically leads to weight loss due to decreased appetite, nausea, and malabsorption.
Choice B rationale
Hiccups can occur due to irritation of the diaphragm or vagus nerve, which can be associated with gastritis.
Choice C rationale
Epigastric pain is a hallmark symptom of chronic gastritis, occurring due to inflammation of the stomach lining.
Choice D rationale
Nausea is a common symptom of chronic gastritis, resulting from inflammation and irritation of the stomach lining.
Correct Answer is D
Explanation
Choice D rationale
Sudden, sharp abdominal pain is a key indicator of gastrointestinal perforation. This severe symptom results from the leakage of gastrointestinal contents into the abdominal cavity, causing intense pain and requiring urgent medical attention.
Choice A rationale
Elevated blood pressure is not a specific indicator of gastrointestinal perforation. While stress or pain might cause temporary increases in blood pressure, it is not a reliable diagnostic sign for perforation.
Choice B rationale
Low heart rate is not typically associated with gastrointestinal perforation. Instead, tachycardia or increased heart rate might occur due to pain and the body's response to infection or sepsis from a perforation.
Choice C rationale
Hyperactive bowel sounds do not indicate gastrointestinal perforation. In fact, bowel sounds may be absent if a perforation occurs due to the body's response to abdominal infection and inflammation. Hyperactive sounds are more related to increased intestinal activity, not perforation.
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