• NCLEX Pretest
  • Time Used 0:00:00

The patient with a subtotal gastrectomy has been advanced to a regular diet. Which information does the nurse provide the patient? Select all that apply.

Incorrect

  • “It is vital that you remain upright for 30 minutes after eating.”
  • “Soy ice cream will be a good alternative to regular ice cream.”
  • “It is better if you eat 6 small meals per day than a few larger ones.”
  • “Increase your fat intake to ensure you are taking in enough calories.”
  • “Plain Greek yogurt is a good source of protein with minimal carbohydrates.”

Rationale

Following a subtotal gastrectomy, the patient is at risk for dumping syndrome. To prevent this, the nurse should instruct the patient to eat multiple small meals per day. Simple carbohydrates should be avoided, so fat intake must be increased to ensure adequate nutrition. Lying supine for 30 minutes may help delay emptying and prevent hypotension after eating. Although soy milk may be better tolerated than dairy products, there is still sugar in soy ice cream that may cause late dumping. The patient should avoid dairy products such as Greek yogurt, even though it is plain.

  • Category: Basic Care and Comfort
  • Difficulty: 10
  • Tags: Communication & Documentation Disease Prevention Gastrointestinal Elimination Health Promotion Patient Education

Question 3 of 30

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