The nurse is caring for a client who has recently undergone a partial gastrectomy. The client asks the nurse which foods would be best for him to have for breakfast. Which menu items does the nurse recommend for the client? (Select all that apply.)
a. Blueberry pancakes with maple syrup
b. A half-grapefruit with a blueberry muffin
c. Plain bagel with margarine or butter
d. Raisin bran with milk and artificial sweetener
e. Scrambled eggs with cheese and a slice of bacon
f. One half cup of cottage cheese with canned pears
C, E, F
Clients who have undergone gastrectomy surgery are at risk for dumping syndrome after meals. To help avoid dumping syndrome, clients should avoid concentrated sweets and fluids at mealtimes. Clients should choose foods that are relatively high in protein and fat, with relatively low carbohydrate content. Good choices are the bagel with butter or margarine, the scrambled egg breakfast, and the cottage cheese with unsweetened canned fruit. The pancakes and syrup are too sweet and have too many carbohydrates. The muffin is high in refined carbohydrates, and fresh fruit should be eaten with caution. Raisin bran is too high in fiber, and beverages (milk) should be taken between meals.
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