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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Gallstones are a common cause of acute pancreatitis, as they can obstruct the pancreatic duct and lead to inflammation.
Choice B reason:
While diabetes mellitus can be a risk factor for pancreatitis, it is not specific to acute pancreatitis.
Choice C reason:
Chronic obstructive pulmonary disease (COPD) is not directly related to acute pancreatitis.
Choice D reason:
Hypolipidemia (low blood lipid levels) is not a common risk factor for acute pancreatitis.
Correct Answer is C
Explanation
Choice A reason:
In older adults, gastric motility tends to decrease rather than increase.
Choice B reason:
The gag reflex may diminish with age, making older adults more prone to swallowing difficulties.
Choice C reason:
This statement is correct. With aging, there is a decrease in mucus secretion in the gastrointestinal tract, which can lead to dryness and potential discomfort.
Choice D reason:
Gastric pH tends to increase with age, which can affect the digestion and absorption of certain nutrients.
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