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Which dietary instruction is most important for the nurse to explain to a client who has had gastric bypass surgery?

A.

Sip fluids with each meal.

B.

Reduce intake of fatty foods.

C.

Eat small frequent meals.

D.

Chew slowly and thoroughly.

Answer and Explanation

The Correct Answer is C

A. While sipping fluids with meals can help prevent discomfort, it is generally recommended to avoid drinking fluids during meals to minimize the risk of overfilling the stomach.  

 

B. Reducing intake of fatty foods is important, but it is not as critical as managing portion sizes and meal frequency after gastric bypass surgery.  

 

C. Eating small frequent meals is crucial after gastric bypass surgery because it helps manage the reduced stomach capacity and promotes better nutrient absorption while preventing dumping syndrome and discomfort.  

 

D. Chewing slowly and thoroughly is a good practice to aid digestion, but it is not as essential as the need for portion control and meal frequency following the surgery.


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View Related questions

Correct Answer is A

Explanation

A. The elevated heart rate and respirations suggest the client may be experiencing hypoxia, especially following a thoracotomy. Administering oxygen will help improve oxygen saturation levels and address potential respiratory distress.

B. While pain management is essential, the immediate concern is ensuring adequate oxygenation.

C. Administering IV fluids may be necessary but is secondary to ensuring the client's oxygenation.

D. Encouraging the client to splint and cough is important for preventing complications but does not address the immediate issue of vital signs indicating possible respiratory compromise.

Correct Answer is B

Explanation

A. While the use of corticosteroid cream is relevant to treatment, it does not indicate a new cause for symptom exacerbation.

B. The introduction of a new dog could be a potential allergen, triggering an exacerbation of the client's eczema symptoms.

C. Receiving an influenza immunization is unlikely to be related to eczema exacerbations and is not a common trigger.

D. An old friend with eczema does not present a direct cause for the current exacerbation and is less relevant to the client's current condition.

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