The nurse is caring for a patient who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the patient to:
A) Restrict fluid intake to 1 qt (1000 mL)/day.
B) Drink liquids only with meals.
C) Maintain NPO status.
D) Drink liquids only between meals.
Ans: D
Feedback: A patient who experiences dumping syndrome after a subtotal gastrectomy should be advised to ingest liquids between meals rather than with meals. Taking fluids between meals allows for adequate hydration, reduces the amount of bulk ingested with meals, and aids in preventing rapid gastric emptying. There's no need to restrict the amount of fluids, just the time when the patient drinks fluids. Drinking liquids with meals increases the risk of dumping syndrome by increasing the amount of bulk and stimulating rapid gastric emptying. Small amounts of water are allowable before meals.
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