The nurse is caring for a patient admitted with a possible bowel obstruction. Which patient symptom should cause the nurse the most concern?

Choice A rationale
Limiting the intake of fluids during meals can help prevent dumping syndrome after a gastrectomy. Drinking fluids during meals can speed up gastric emptying, leading to a rapid release of glucose into the bloodstream and causing symptoms of dumping syndrome.
Therefore, it’s recommended to drink fluids between meals rather than with meals.
Choice B rationale
Maintaining a high Fowler’s position during meals is not typically recommended to prevent dumping syndrome. This position does not have a significant impact on the speed of gastric emptying.
Choice C rationale

Urinating after a meal does not help prevent dumping syndrome. Dumping syndrome is related to the speed of gastric emptying, not urinary habits.
Choice D rationale
Consuming high-carbohydrate foods can actually exacerbate dumping syndrome. High- carbohydrate foods can cause a rapid increase in blood glucose levels, followed by a rapid drop, leading to symptoms of dumping syndrome.

Choice A rationale
A high fiber diet is not typically recommended for a client diagnosed with acute gastroenteritis. High fiber foods can potentially exacerbate diarrhea and other symptoms.
Choice B rationale
While a low fat diet can be beneficial in many health conditions, it is not specifically recommended for a client diagnosed with acute gastroenteritis.
Choice C rationale
A low fiber diet is typically recommended for a client diagnosed with acute gastroenteritis. Low fiber foods are easier to digest and can help alleviate symptoms such as diarrhea.
Choice D rationale
A high carbohydrate diet is not typically recommended for a client diagnosed with acute gastroenteritis. High carbohydrate foods can potentially exacerbate diarrhea and other symptoms.