Question

Nurse provides care for pt underwent vagotomy with antrectomy to treat duodenal ulcer. post op pt develops dumping syndrome. which statement indicates further teaching needed?

- i am able to eat roll or bread at dinner
- i usually eat smaller meals, about 6 per day
- i need to recline after meals to help digestion
- i should avoid drinking fluids with my meals

Answer 1

The statement indicating further teaching is needed for a patient with dumping syndrome following vagotomy with antrectomy is: "I need to recline after meals to help digestion." This is because reclining can accelerate the gastric emptying process that contributes to dumping syndrome symptoms.

Step-by-step explanation:

A patient underwent a vagotomy with antrectomy to treat a duodenal ulcer and developed dumping syndrome postoperatively. To identify which statement indicates further teaching is needed, we should understand the dietary modifications recommended for managing dumping syndrome. Patients are usually advised to eat smaller, more frequent meals to avoid overwhelming the small intestine, avoid simple sugars like those found in bread and rolls, and refrain from drinking fluids during meals to reduce the risk of rapid gastric emptying. Additionally, it is generally not recommended to recline after meals as this can exacerbate symptoms by facilitating rapid movement of food from the stomach to the small intestine.

Therefore, the statement indicating further teaching is needed is, "I need to recline after meals to help digestion." This practice can contribute to symptoms of dumping syndrome rather than alleviate them. Instead, patients are advised to sit or stand after eating to slow down the passage of food.