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 A

Explanation

Choice A rationale
Increasing fluid and fiber intake is one of the first steps in managing constipation in elderly patients. Fiber adds bulk to the stool and makes it easier to pass, while fluids help keep the stool soft.
Choice B rationale
While avoiding gas-producing foods may help with some digestive issues, it’s not specifically helpful for managing constipation.
Choice C rationale
While a stool softener can help relieve constipation, it’s usually considered after dietary changes have been tried without success.
Choice D rationale
Physical activity can help stimulate bowel movements and is often recommended as part of constipation management. However, it’s not the first step, and its effectiveness can depend on the individual’s overall health and mobility.
Question 31.

A. Monitor peripheral pulses every 8 hours B. Measure urine output every 4 hours C. Maintain NPO status D. Ambulate the patient three times daily

Correct Answer is C

Explanation

Choice A rationale
Monitoring peripheral pulses every 8 hours is not typically a priority in the care plan for a patient with acute pancreatitis. While cardiovascular monitoring is important in all patients, it is not specifically related to the management of acute pancreatitis.
Choice B rationale
Measuring urine output every 4 hours can be important in assessing fluid balance and kidney function, but it is not the primary intervention in the care plan for a patient with acute pancreatitis.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a key intervention in the management of acute pancreatitis. This helps to rest the pancreas and reduce the production of digestive enzymes.
Choice D rationale
Ambulating the patient three times daily is generally a good practice for postoperative recovery, but it is not specific to the care of a patient with acute pancreatitis. In the acute phase of pancreatitis, rest is often recommended.

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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 providing care for an elderly patient who is experiencing constipation. What action should the nurse take?

Correct Answer is A

Explanation

A nurse is contributing to the care plan for a patient who has acute pancreatitis. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

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