NCLEX Review about Gastrointestinal Discomfort 9-15

NCLEX Review about Gastrointestinal Discomfort

9. What diet should the nurse recommend for a child with celiac disease?

a) wheat and oats
b) rice and corn
c) cookies and ice cream
d) pasta and noodles

10. Which of the following foods should not be included in the diet of the client with diverticulitis?

a) rice and steamed chicken
b) tomato and cucumber
c) pasta and orange slices
d) roasted turkey and spaghetti

11. A client had undergone gastric resection. Which of the following is not to be included in the nursing care plan for the client to prevent dumping syndrome?

a) small, frequent feeding
b) high protein, low carbohydrate diet
c) lying down after meals
d) taking fluids with meals

12. When is the best time to administer sucralfate?

a) one hour before meals
b) 30 minutes after meals
c) with meals
d) 2 hours after meals

13. Which of the following should the nurse include when giving health teachings in a client with gastroesophageal reflux?

a) lie down after meals
b) sleep with the head of bed elevated
c) eat high carbohydrate diet
d) eat low protein diet

14. Which of the following should the nurse advise to a client who had undergone partial gastrectomy?

a) drink fluid with meals
b) lie down after meals
c) increase fats in the diet
d) assume upright position during and after meals

15. Which of the following statements when made by the mother of a child with celiac disease indicates that she understands the diet of her child?

a) my child can eat rice
b) my child can eat oats
c) my child can eat biscuits
d) my child can eat pasta




NCLEX REVIEW ABOUT GASTROINTESTINAL DISCOMFORT:
ANSWERS AND RATIONALE

9) B
- gluten-free diet is recommended for children with celiac disease. Rice and corn are allowed in the child's diet. Avoid foods that contain barley, rye, oats and wheat.

10) B
- foods with seeds like tomato and cucumber should be avoided by the patient with diverticulitis because the seeds may be trapped in the outpouchings.

11) D
- to prevent dumping syndrome, measures that slow down gastric emptying should be practiced. Fluids should be taken after meals, not with meals.

12) A
- sucralfate is a cytoprotective drug. To coat the ulcer, it should be given on empty stomach.

13) B
- the head of bed should be elevated during sleep to prevent gastroesophageal reflux.

14) B
- after partial gastrectomy, dumping syndrome may occur . Lying down after meals will inhibit rapid emptying of gastric content.

15) A
- celiac disease is gluten-sensitivity enteropathy. The client's diet should be gluten-free. Avoid foods from BROW (barley, rye, oats and wheat). Rice and corn are allowed.


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