Free NCLEX-RN Exam Braindumps (page: 87)

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Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?

  1. Eating three large meals a day
  2. Drinking small amounts of liquids with meals
  3. Taking a long walk after meals
  4. Eating a low-carbohydrate diet

Answer(s): D

Explanation:

(A) Six small meals are recommended. (B) Liquids after meals increase the time food empties from the stomach. (C) Lying down after meals is recommended to prevent gravity from producing dumping. (D) A low-carbohydrate diet will prevent a hypertonic bolus, which causes dumping.



Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?

  1. Eating three large meals a day
  2. Drinking small amounts of liquids with meals
  3. Taking a long walk after meals
  4. Eating a low-carbohydrate diet

Answer(s): D

Explanation:

(A) Six small meals are recommended. (B) Liquids after meals increase the time food empties from the stomach. (C) Lying down after meals is recommended to prevent gravity from producing dumping. (D) A low-carbohydrate diet will prevent a hypertonic bolus, which causes dumping.



A postpartum client complains of rectal pressure and severe pain in her perineum; this may be indicative of:

  1. Afterbirth pains
  2. Constipation
  3. Cystitis
  4. A hematoma of the vagina or vulva

Answer(s): D

Explanation:

(A) Afterbirth pains are a common complaint in the postpartum client, but they are located in the uterus. (B) Constipation may cause rectal pressure but is not usually associated with "severe pain." (C) Cystitis may cause pain, but the location is different. (D) Hematomas are frequently associated with severe pain and pressure.
Further assessments are indicated for this client.



A postpartum client complains of rectal pressure and severe pain in her perineum; this may be indicative of:

  1. Afterbirth pains
  2. Constipation
  3. Cystitis
  4. A hematoma of the vagina or vulva

Answer(s): D

Explanation:

(A) Afterbirth pains are a common complaint in the postpartum client, but they are located in the uterus. (B) Constipation may cause rectal pressure but is not usually associated with "severe pain." (C) Cystitis may cause pain, but the location is different. (D) Hematomas are frequently associated with severe pain and pressure.
Further assessments are indicated for this client.






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