A female client who had bariatric surgery two weeks ago returns to the emergency department and is readmitted to the hospital because she reports experiencing nausea, vomiting, abdominal cramps, and severe diarrhea. Which intervention(s) should the nurse include in the plan of care? Select all that apply.
Explanation & Rationale
A. Plan meals with low fiber: High-fiber foods (especially soluble fiber) are actually encouraged because they help slow down gastric emptying and delay the absorption of sugars, which can reduce the severity of dumping syndrome. B. Separate fluids from meals: This is an important intervention because drinking fluids during meals can increase the risk of dumping syndrome, leading to nausea, vomiting, and diarrhea. Fluids should be consumed between meals to help avoid these symptoms. C. Eliminate acidic food choices: While some clients may find acidic foods irritating, the primary dietary triggers for dumping syndrome are simple sugars and high-carbohydrate foods, not acidity. D. Offer comfort foods: Comfort foods are not appropriate for this client, as they may be high in fat, sugar, or calories, which could exacerbate symptoms after bariatric surgery. Instead, nutritious and easily digestible foods should be offered. E. Provide small, frequent meals: Offering small, frequent meals helps reduce the strain on the digestive system, making it easier for the client to tolerate food. Large meals can cause discomfort and increase the risk of complications such as dumping syndrome.