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","B","D"]
Explanation
Choice A reason:
This statement demonstrates the client's understanding of the need to reduce intake of caffeine and spicy foods, which can exacerbate symptoms of hiatal hernia.
Choice B reason:
This statement shows the client's awareness of the importance of maintaining a healthy weight, which can help manage hiatal hernia symptoms.
Choice C reason:
This statement is not related to the dietary recommendations for hiatal hernia.
Choice D reason:
Limiting fluid intake can help prevent excessive stomach distension, which may aggravate hiatal hernia symptoms.
Correct Answer is B
Explanation
Choice A reason:
While lansoprazole can be taken with or without food, it is generally recommended to take it before a meal for optimal effectiveness in reducing stomach acid.
Choice B reason:
This is the correct answer. Taking lansoprazole 30 minutes before breakfast allows it to be most effective in reducing stomach acid production.
Choice C reason:
Taking lansoprazole after lunch may not provide the same level of effectiveness in reducing stomach acid as taking it before a meal.
Choice D reason:
Taking lansoprazole with a bedtime snack may not be as effective in reducing stomach acid as taking it before a meal. Additionally, it is generally recommended to take it in the morning.
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