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Question ⬇

Physiological Integrity: Basic Care and Comfort-Nutrition

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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.

Choices

Choices ⬆ ⬇

1. Increasing fats as tolerated.

2. Eating more dry items than liquid.

3. Consuming fluids before or after mealtimes.

4. Avoiding concentrated carbohydrates.

5. Increasing simple carbohydrates.

Question  Hint

Hints ⬆ ⬇

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

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Rationale ⬆

Physiological Integrity: Basic Care and Comfort-Nutrition

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1.  2.  3.  4.  

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.

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