Question

A client who has been advanced to a solid diet after undergoing a subtotal gastrectomy. What is the appropriate nursing intervention in preventing dumping syndrome?

1.Remove fluids from the meal tray.
2.Give the client 2 large meals per day.
3.Ask the client to sit up for 1 hour after eating.
4.Provide concentrated, high-carbohydrate foods.

Answer 1

To prevent dumping syndrome after a subtotal gastrectomy, the appropriate nursing intervention is to provide multiple small meals throughout the day and ask the client to sit up for one hour after eating.

Step-by-step explanation:

In preventing dumping syndrome after a subtotal gastrectomy, the appropriate nursing intervention is to provide multiple small meals throughout the day rather than a few large meals.

This helps to keep energy, blood glucose, and insulin levels stable and prevents the stomach from being overwhelmed with chyme.

Additionally, it is important to ask the client to sit up for at least one hour after eating to allow for proper digestion.

Answer 2

The appropriate nursing intervention in preventing dumping syndrome after a subtotal gastrectomy is Provide concentrated, high-carbohydrate foods.

4.Provide concentrated, high-carbohydrate foods.

Step-by-step explanation:

Dumping syndrome occurs when food, especially high-carbohydrate content, moves too quickly from the stomach to the small intestine. This rapid transit can lead to symptoms such as nausea, vomiting, diarrhea, and palpitations. Therefore, providing concentrated, high-carbohydrate foods helps to slow down the transit of food through the digestive system, reducing the risk of dumping syndrome.

High-carbohydrate foods increase osmolarity in the stomach, leading to an osmotic effect that draws water into the stomach and slows gastric emptying. Examples of concentrated, high-carbohydrate foods include rice, pasta, and bread. By incorporating these foods into the client's diet, nurses can help regulate the pace at which nutrients are absorbed, minimizing the risk of rapid emptying and associated symptoms.

It's crucial to educate the client about dietary modifications and the importance of consuming small, frequent meals rather than large ones. Additionally, providing dietary counseling and monitoring the client's response to different foods will contribute to effective management of post-gastrectomy symptoms. Overall, a comprehensive approach that combines patient education and dietary adjustments is essential in preventing dumping syndrome and promoting the client's well-being.