A client is recovering from a gastrojejunostomy (Billroth II) for treatment of duodenal ulcer. About 20 minutes after lunch, the client develops dizziness, weakness, palpitations, and the urge to defecate
To avoid recurrence of these symptoms, which measures does the nurse teach the client? A)
Increase fluid intake with meals and lie down 30 minutes after meals.
B)
Eat a high-carbohydrate, low-fat diet in six small feedings a day.
C)
Decrease fluid intake with meals and lie down after meals.
D)
Drink fruit juice after each meal.
A
Explanation:
A)
The symptoms indicate dumping syndrome, which is minimized by limiting carbohydrate intake, eating small meals, drinking liquids separate from solid foods, and assuming a recumbent or semirecumbent position after meals.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
B)
The symptoms indicate dumping syndrome, which is minimized by limiting carbohydrate intake, eating small meals, drinking liquids separate from solid foods, and assuming a recumbent or semirecumbent position after meals.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
C)
The symptoms indicate dumping syndrome, which is minimized by limiting carbohydrate intake, eating small meals, drinking liquids separate from solid foods, and assuming a recumbent or semirecumbent position after meals.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
D)
The symptoms indicate dumping syndrome, which is minimized by limiting carbohydrate intake, eating small meals, drinking liquids separate from solid foods, and assuming a recumbent or semirecumbent position after meals.
Analysis
Assessment
Physiological Integrity: Physiological Adaptation
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