Physiological Integrity: Basic Care and Comfort-Nutrition
6. A client would demonstrate awareness of dietary influences in the prevention of dumping syndrome if the intake were adjusted by:
Select all that apply.
. Increasing fats as tolerated.
. Eating more dry items than liquid.
. Consuming fluids before or after mealtimes.
. Avoiding concentrated carbohydrates.
Test-Taking Tip
Ask how each option will affect gastric emptying. Will it speed or slow the "dumping" of gastric contents?
Content Area: Adult Health, Gastrointestinal; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Nutrition and Oral Hydration
Physiological Integrity: Basic Care and Comfort-Nutrition
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Answer 1 is correct because dietary fat does not contribute to dumping syndrome like carbohydrates do. Answer 2 is correct because fluid with meals or near mealtime (less than 1 hour before or 1 hour after) contributes to dumping syndrome. Answer 3 is correct because fluid should not be consumed with meals. Fluids, 1 hour before or 1 hour after a meal, reduce the potential for dumping syndrome. Answer 4 is correct because carbohydrates increase the chance of dumping syndrome because they speed up gastric emptying. Answer 5 is incorrect because the diet should keep carbohydrate intake low.