A patient is receiving education about his upcoming Billroth I procedure (gastroduodenostomy). This patient should be informed that he may experience which of the following adverse effects associated with this procedure?

Diarrhea and feelings of fullness

Gastric reflux and belching

Persistent feelings of hunger and thirst

Constipation or bowel incontinence

Answer and Explanation

The Correct Answer is A

Choice A Reason:

After a Billroth I procedure, where the stomach is anastomosed directly to the duodenum, some patients may experience diarrhea and feelings of fullness due to the direct passage of food into the small intestine without the buffering effect of the pyloric valve.

Choice B reason:

Gastric reflux and belching are not typically associated with a Billroth I procedure.

Choice C reason:

Persistent feelings of hunger and thirst are not common adverse effects associated specifically with a Billroth I procedure.

Choice D reason:

Constipation or bowel incontinence are not typically associated with a Billroth I procedure, as this surgery involves the upper gastrointestinal tract.

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Correct Answer is B

Explanation

Choice A reason:

Sudden thirst, unrelieved by oral fluid administration, may indicate dehydration, but it is not specific to a recurrence of upper GI bleeding.

Choice B reason:

This is the correct answer. Tachycardia (rapid heart rate), hypotension (low blood pressure), and tachypnea (rapid breathing) are signs of potential recurrence of upper GI bleeding and should be closely monitored.

Choice C reason:

Diaphoresis (excessive sweating) and sudden onset of abdominal pain could be indicative of various conditions, but they are not specific to a recurrence of upper GI bleeding.

Choice D reason:

Tarry, foul-smelling stools (melena) are indicative of upper GI bleeding. However, in this scenario, the bleeding has been controlled, so this is not an expected sign of recurrence.

A. Increased blood pressure B. Hyperactive bowel sounds C. Bradycardia D. Sudden abdominal pain

Correct Answer is D

Explanation

Choice A reason:

Increased blood pressure is not typically associated with gastrointestinal perforation; hypotension may be more indicative.

Choice B reason:

Hyperactive bowel sounds may be present in various gastrointestinal conditions, but they are not specific to perforation.

Choice C reason:

Bradycardia is not a typical sign of gastrointestinal perforation; tachycardia may be more indicative of this condition.

Choice D reason:

This statement is correct. Sudden abdominal pain is a key indication of gastrointestinal perforation, and it should be monitored closely.

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A patient is receiving education about his upcoming Billroth I procedure (gastroduodenostomy). This patient should be informed that he may experience which of the following adverse effects associated with this procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the patient's condition is now stable. For the next several hours, the nurse caring for this patient should assess for what signs and symptoms of recurrence?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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