Mrs. K is a 69-year-old widow who lives alone. At her clinic visit she confessed to the nurse that she is embarrassed by her frequent diarrhea and bloating after meals. At times she also feels sweaty or dizzy
Because of this problem she no longer goes out with friends to eat, which in the past has been an enjoyable source of socialization. The nurse advises her to continue to go out with her friends but also to: 1. Eat smaller portions and avoid extra fluid with meals. 2. Avoid eating all day before she goes out and then eat a large meal. 3. Eat food cooked at home since many restaurants have additives that can cause diarrhea. 4. Eat foods with simple rather than complex carbohydrates.
1
Clients with dumping syndrome should be advised to eat several small meals portions throughout the day with snacks to avoid rapid gastric emptying. Avoiding food promotes a poor nutritional intake resulting in numerous problems including a fatty liver and malnutrition, but does not prevent rapid transit of food into the intestines following a large meal. Foods high in simple carbohydrates also promote rapid transit and poor absorption of food in the intestines.
You might also like to view...
Directions: Convert as indicated
34 mm = _____ cm
Extended families often experience conflict related to which issue?
a. Financial concerns c. Custody of dependent children b. Lack of formal edu-cation d. Parenting and authority
The client wants to receive insulin by continuous subcutaneous injection (CSCI). Which injection site does the nurse suggest for the client?
1. Deltoid region 2. Distal to a joint 3. Close to the waistline 4. Ventrogluteal muscle
The primary reason an older adult client is more likely to develop a pressure ulcer on the elbow as compared to a middle-age adult is:
1. A reduced skin elasticity is common in the older adult 2. The attachment between the epidermis and dermis is weaker 3. The older client has less subcutaneous padding on the elbows 4. Older adults have a poor diet that increases risk for pressure ulcers