The nurse is planning a meal for a client who is at risk of developing dumping syndrome following gastric surgery.
Which of the following dietary choices would be appropriate for this client?
The nurse is planning a meal for a client who is at risk of developing dumping syndrome following gastric surgery.
Which of the following dietary choices would be appropriate for this client?
A. Baked salmon, green beans, and a small baked potato
[66%]
B. Spaghetti with marinara sauce, garlic bread, and sweet tea
[4%]
C. Fruit smoothie, bran muffin, and a glass of skim milk
[10%]
D. Apple juice, oatmeal with brown sugar, and low-fat yogurt
[20%]
Statistics
Subject/Lesson
Subject
Nutrition
Lesson
Nutrition
Client Need
Test Plan
Basic Care and Comfort
Related Topic
Nutrition and Oral Hydration
Item Type
Item Type
Application
Explanation
Choice A is correct. This meal is rich in lean protein and moderate in complex carbohydrates, and it avoids simple sugars and excessive fluid with meals. These characteristics help delay gastric emptying and reduce the risk of dumping syndrome.
Choice B is incorrect. High in refined carbs and sugar, this meal promotes rapid gastric emptying and can cause dumping syndrome symptoms such as cramping and diarrhea.
Choice C is incorrect. While often perceived as healthy, smoothies and muffins typically contain high sugar and fiber, which can accelerate gastric emptying. Dairy may worsen symptoms in some clients.
Choice D is incorrect. This option contains several sources of simple sugars (juice and brown sugar), which increase osmotic load in the intestines, triggering dumping syndrome.
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3.4 Dietary Restrictions & Progression
Additional Info
✓ Dumping syndrome is a common complication following gastric bypass surgery.
✓ Early dumping syndrome has a rapid onset, usually within 15 minutes. It results from the rapid emptying of food into the small bowel. Due to the hyperosmolality of the food, rapid fluid shifts from the plasma into the bowel occur, resulting in hypotension and a sympathetic nervous system response.
✓ Clients often present with colicky abdominal pain, diarrhea, nausea, and tachycardia. At worst, the client runs the risk of hypoglycemia.
✓ The client at risk for dumping syndrome should avoid consuming a large amount of calories in one meal and stay away from foods with refined sugars.
