مريض بعد استئصال جزء من المعدة يشعر بعد الأكل بـ٢٠ دقيقة بدوخة وخفقان وتعرق ومغص. أي عبارة منه تدل على فهم التعليمات؟

After partial gastrectomy, a client feels dizzy, with palpitations, sweating and cramps about 20 minutes after eating. Which statement shows he understands the teaching?

1. “I will drink fluids between meals, not with them.”
2. “I will walk straight after eating so that food digests faster.”
3. “I will eat three large meals instead of small ones.”
4. “I will have a glass of juice with each meal for energy.”

Answer: A) “I will drink fluids between meals, not with them.”. In dumping syndrome food rushes into the bowel and draws in fluid. Symptoms lessen with small frequent meals, fluids between meals, fewer simple sugars and lying down briefly after eating. Juice, walking after meals and large meals worsen symptoms.