The nurse is caring for a client who has developed dumping syndrome while recovering from a bariatric surgery. What recommendation should the nurse make to the client?
Drink a minimum of 12 ounces of fluid with each meal.
Choose foods that are high in simple carbohydrates.
Stay upright when eating and for 30 minutes afterward.
Eat several small meals daily spaced at equal intervals.
The Correct Answer is D
Choice A reason: Drinking a minimum of 12 ounces of fluid with each meal is not recommended for a client who has dumping syndrome. Fluids can increase the gastric volume and accelerate the gastric emptying, leading to more severe symptoms. The nurse should advise the client to drink fluids between meals, not with meals.
Choice B reason: Choosing foods that are high in simple carbohydrates is not recommended for a client who has dumping syndrome. Simple carbohydrates can cause a rapid rise and fall of blood glucose levels, resulting in hypoglycemia and weakness. The nurse should advise the client to choose foods that are high in protein and fat, and low in sugar.
Choice C reason: Staying upright when eating and for 30 minutes afterward is not recommended for a client who has dumping syndrome. This position can facilitate the gastric emptying and worsen the symptoms. The nurse should advise the client to lie down after eating to slow down the gastric emptying.
Choice D reason: Eating several small meals daily spaced at equal intervals is recommended for a client who has dumping syndrome. This can help reduce the gastric volume and pressure, and prevent the rapid delivery of food into the small intestine. The nurse should advise the client to eat four to six small meals per day, and avoid skipping meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Dark-colored stools are an adverse effect of orlistat, a medication that blocks the absorption of fat in the intestines. The unabsorbed fat can cause the stools to become oily, foul-smelling, and dark in color. This can indicate a serious condition called steatorrhea, which can lead to malnutrition and vitamin deficiencies.
Choice B reason: Constipation is not an adverse effect of orlistat. In fact, orlistat can cause the opposite problem of diarrhea, especially if the client consumes too much fat in their diet. Constipation may be caused by other factors, such as dehydration, lack of fiber, or medication side effects.
Choice C reason: Nausea is not an adverse effect of orlistat. Nausea may be a symptom of other conditions, such as gastritis, gastroenteritis, or pregnancy. Nausea may also be caused by other medications, such as antibiotics, opioids, or chemotherapy drugs.
Choice D reason: Abdominal pain is not an adverse effect of orlistat. Abdominal pain may be a sign of other conditions, such as appendicitis, gallstones, or kidney stones. Abdominal pain may also be caused by other medications, such as NSAIDs, steroids, or oral contraceptives.
Correct Answer is B
Explanation
Choice A reason: MRI is not a diagnostic procedure for Barrett esophagus. MRI is a type of imaging test that uses magnetic fields and radio waves to create detailed pictures of the internal organs and tissues. It is mainly used to diagnose problems in the brain, spine, joints, and blood vessels.
Choice B reason: EGD is a diagnostic procedure for Barrett esophagus. EGD is a type of endoscopy that uses a flexible tube with a light and a camera to examine the esophagus, stomach, and duodenum. It can detect changes in the lining of the esophagus that may indicate Barrett esophagus, a condition where the normal squamous cells are replaced by columnar cells due to chronic acid exposure.
Choice C reason: Colonoscopy is not a diagnostic procedure for Barrett esophagus. Colonoscopy is a type of endoscopy that uses a flexible tube with a light and a camera to examine the colon and rectum. It is mainly used to screen for colorectal cancer and polyps, as well as to diagnose inflammatory bowel disease and other conditions affecting the lower gastrointestinal tract.
Choice D reason: CT scan is not a diagnostic procedure for Barrett esophagus. CT scan is a type of imaging test that uses X-rays and a computer to create cross-sectional pictures of the body. It is mainly used to diagnose problems in the chest, abdomen, pelvis, and bones.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.