A patient is one month postoperative following restrictive bariatric surgery. The patient tells the clinic nurse that he has been having "trouble swallowing" for the past few days. What recommendation should the nurse make?
A) Eating more slowly and chewing food more thoroughly
B) Taking an OTC antacid or drinking a glass of milk prior to each meal
C) Chewing gum to cause relaxation of the lower esophageal sphincter
D) Drinking at least 12 ounces of liquid with each meal
Ans: A
Feedback:
Dysphagia may be prevented by educating patients to eat slowly, to chew food thoroughly, and to avoid eating tough foods such as steak or dry chicken or doughy bread. After bariatric procedures, patients should normally not drink beverages with meals. Medications or chewing gum will not alleviate this problem.
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