The nurse is providing discharge instructions to a client who has undergone a gastrectomy. Which strategy should the nurse include in the teaching to help prevent dumping syndrome?

Limit the intake of fluids during meals.

Maintain a high Fowler’s position during meals.

Urinate after a meal.

Consume high-carbohydrate foods.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is B

Explanation

Choice A rationale
Broccoli is a high-fiber food, and while it is generally healthy, it may not be well-tolerated by individuals with Crohn’s disease, especially during a flare-up. High-fiber foods can cause bloating, gas, and abdominal pain in some people with Crohn’s disease.
Choice B rationale

Grilled chicken breast is a good choice for individuals with Crohn’s disease. It is a lean protein source and is usually well-tolerated. Protein is important for repairing body tissues and maintaining a healthy immune system.
Choice C rationale
A vanilla milkshake may not be the best choice for someone with Crohn’s disease. Dairy products can cause digestive symptoms in people who are lactose intolerant, and many people with Crohn’s disease have lactose intolerance.
Choice D rationale
Buttered popcorn is a high-fiber food and may not be well-tolerated by individuals with Crohn’s disease, especially during a flare-up. High-fiber foods can cause bloating, gas, and abdominal pain in some people with Crohn’s disease.

A. Maintain bed rest for 48 hr following surgery. B. Irrigate the nasogastric tube every 4 to 8 hr. C. Encourage hourly use of an incentive spirometer while awake. D. Perform leg exercises every 2 hr.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale
Maintaining bed rest for 48 hours following surgery is a common practice to allow the body to heal and recover.
Choice B rationale

Irrigating the nasogastric tube every 4 to 8 hours is necessary to maintain patency and prevent blockage.
Choice C rationale
Encouraging hourly use of an incentive spirometer while awake can help prevent postoperative complications such as pneumonia and atelectasis.
Choice D rationale
Performing leg exercises every 2 hours is not typically included in the plan of care for a client who had surgery for a bowel obstruction and has a nasogastric tube in place.

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The nurse is providing discharge instructions to a client who has undergone a gastrectomy. Which strategy should the nurse include in the teaching to help prevent dumping syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client with Crohn’s disease about dietary choices. Which food should the nurse recommend as part of the diet?

Correct Answer is B

Explanation

A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place.Which of the following actions should the nurse include in the client’s plan of care? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

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