The nurse is caring for a client with dumping syndrome. While filling out the menu for the next day, the client asks what the best dessert would be. What is the best response?
A) Yogurt B) Ice cream C) Chocolate pudding D) Apple pie
A
Feedback:
Clients with dumping syndrome should avoid added sugar, honey, syrup, sorbitol, and xylitol and all food and beverages that list any of those in the first three ingredients on the label.
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When creating a pedigree, which items would the nurse consider as red flags?
Select all that apply. 1. Known genetic conditions. 2. Multiple family members with the same disease. 3. Late age of disease onset. 4. Death from chronic illness. 5. Multiple pregnancy losses.
The nurse has attempted to administer a tap water enema for a patient with fecal impaction with no success. The fecal mass is too large for the patient to pass voluntarily. Which is the next priority nursing action?
a. Preparing the patient for a second tap water enema b. Obtaining an order for digital removal of stool c. Positioning the patient on the left side d. Inserting a rectal tube
The nurse manager of the medical-surgical unit assigns which client to the LPN/LVN?
A. 44-year-old admitted with dehydration who has a heart rate of 126 B. 54-year-old just admitted with hyperkalemia who takes a potassium-sparing diuretic at home C. 64-year-old admitted yesterday with heart failure who still has dependent pedal edema D. 74-year-old who has just been admitted with severe nausea, vomiting, and diarrhea
A patient has had surgery for arterial revascularization with graft placement. The nurse notes swelling, tenseness of the skin tissue, and the patient reports an increasing pain with numbness and tingling, as well as a decrease in the ability to wiggle toes and ankles. What does the nurse suspect is occurring with this patient?
a. Graft infection b. Compartment syndrome c. Graft occlusion d. Reaction to thrombolytic therapy