Which statement from a client with chronic dumping syndrome indicates they need further teaching?

The statement indicating that the client eats at least three large meals each day suggests a misunderstanding of dietary management for chronic dumping syndrome. Individuals with this condition are typically advised to consume smaller, more frequent meals rather than large meals. This approach helps to regulate the emptying of the stomach and minimizes the rapid transit of food into the intestines, which can exacerbate symptoms like nausea, diarrhea, and abdominal pain.

By consuming three large meals, the client may inadvertently contribute to worsening symptoms of dumping syndrome, as large quantities of food can lead to an increased release of insulin and result in reactive hypoglycemia. In contrast, the other statements reflect appropriate dietary practices for managing dumping syndrome, such as lying in a semirecumbent position to slow gastric emptying, eliminating liquids with meals to reduce the volume of food rapidly entering the intestine, and adhering to a high-protein, low- to moderate-carbohydrate diet that can help maintain blood sugar levels more stable.