Mrs. K is a 69-year-old widow who lives alone. At her clinic ...

[tsand2]

Mrs. K is a 69-year-old widow who lives alone. At her clinic visit she confessed to the nurse that she is embarrassed by her frequent diarrhea and bloating after meals. At times she also feels sweaty or dizzy.
 
  Because of this problem she no longer goes out with friends to eat, which in the past has been an enjoyable source of socialization. The nurse advises her to continue to go out with her friends but also to: 1. Eat smaller portions and avoid extra fluid with meals. 2. Avoid eating all day before she goes out and then eat a large meal. 3. Eat food cooked at home since many restaurants have additives that can cause diarrhea. 4. Eat foods with simple rather than complex carbohydrates.

Question 2

Rapid weight gain (>1 pound in a day) is probably caused by accumulation of
 
  a. fluid.
  b. feces.
  c. body fat.
  d. lean body mass.

[shewald78]

Answer to Question 1

1
Clients with dumping syndrome should be advised to eat several small meals portions throughout the day with snacks to avoid rapid gastric emptying. Avoiding food promotes a poor nutritional intake resulting in numerous problems including a fatty liver and malnutrition, but does not prevent rapid transit of food into the intestines following a large meal. Foods high in simple carbohydrates also promote rapid transit and poor absorption of food in the intestines.

Answer to Question 2

A
Weight gains exceeding 1 pound in a day are probably caused by excess fluid. The body cannot accumulate lean body mass or body fat this quickly and accumulation of this amount of feces is highly unlikely.

[tsand2]

Thanks for the timely response, appreciate it

[tranoy]

Excellent