The patient who had a gastrectomy complains to the nurse about frequent episodes of dumping syndrome. The nurse suggests the patient modify his intake by:
a. eating small, frequent meals.
b. including more fiber in meals.
c. increasing seasoning on food.
d. limiting intake to semi-liquids.
A
The symptoms of dumping syndrome can be reduced by consuming small frequent meals of mildly seasoned food; extra fiber is not essential.
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An 8-year-old child had a hematopoietic stem cell transplant 10 months ago. The father brings her to the clinic, where the child reports "I just don't feel well." Dad relates that the child has been lethargic and sleeping a lot
The child's vital signs are within normal range for age. What action by the nurse is best? A. Explain that growth spurts can cause fatigue. B. Prepare the family for a "fever" workup. C. Provide reassurance to the father and child. D. Review side effects of immunosuppressants.
A patient asks a nurse which weight-loss diet is most effective. Which response by the nurse is appropriate?
a. "Low-fat diets may be easiest for weight loss, because fat has a higher concentra-tion of calories than proteins and carbo-hydrates." b. "Most diets don't work very well for long-term maintenance, so you should ask your provider about medications to lose weight." c. "You should be able to lose 30 to 40 pounds in the first 6 months of an effec-tive weight-loss diet." d. "You should select a diet that has a higher fat ratio to prevent hunger between meals."
A nurse in the hospice unit allows for the client's wishes to be expressed and implemented, when possible. Which ethical principle when used is designed to avoid using fallacies in ethical decision making?
A) Not allowing the client to share in the health care decision B) Serving the client in a manner that promotes harm C) Devaluing the client's self-determination D) Respecting the client's rights and treatment options
A client diagnosed with disseminated intravascular coagulation (DIC) is currently bleeding through the gastrointestinal tract. The nurse would expect to provide which of the following for the client?
1. Heparin 2. Coumadin 3. Aspirin 4. Fresh frozen plasma and platelets