A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How does the nurse explain dumping syndrome?

An increase in the secretion of both bile and pancreatic enzymes

A decrease in the secretion of insulin caused by carbohydrates

When the passage of food into the small intestine occurs too rapidly

The inability to digest high-fat foods

Answer and Explanation

The Correct Answer is C

A. Dumping syndrome is not related to the increased secretion of bile and pancreatic enzymes; it occurs when food passes too quickly from the stomach into the small intestine.
B. Dumping syndrome is not caused by a decrease in insulin secretion, but rather by rapid gastric emptying that can result in fluctuating blood sugar levels.
C. Dumping syndrome occurs when food moves too quickly from the stomach into the small intestine, causing a sudden release of insulin and other gastrointestinal symptoms, such as nausea, diarrhea, and dizziness.
D. While high-fat foods can be problematic for some gastric bypass patients, dumping syndrome is specifically related to rapid gastric emptying and not the inability to digest fat.

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Correct Answer is A

Explanation

A. A total laryngectomy involves the removal of the larynx, which can impact both the ability to smell and taste. This is due to the altered airflow and the loss of normal sensory processes. Explaining this to the patient is an appropriate response.
B. While offering to provide preferred foods may seem empathetic, it does not address the underlying issue, which is the loss of taste and smell due to the surgery.
C. Telling the client that hospital food is often tasteless does not address the patient's specific condition and may seem dismissive of their concerns.
D. While it might be helpful for the family to bring food, the nurse should first address the reason for the altered taste perception and educate the patient accordingly.

A. Cheyne-Stokes breathing B. Acetone odor to breath C. Blood glucose level below 40 mg/dL D. Malignant hypertension

Correct Answer is B

Explanation

A. Cheyne-Stokes breathing is characterized by periods of deep breathing followed by apnea and is often associated with conditions like heart failure or brain injury, not diabetic ketoacidosis (DKA).
B. Acetone odor to breath is a hallmark sign of diabetic ketoacidosis. The body breaks down fats for energy, producing ketones, which are released in the breath, giving it a fruity or acetone-like odor.
C. A blood glucose level below 40 mg/dL would indicate hypoglycemia, not DKA. In DKA, blood glucose levels are typically elevated (above 250 mg/dL).
D. Malignant hypertension refers to extremely high blood pressure with organ damage, and is not directly related to diabetic ketoacidosis.

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A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How does the nurse explain dumping syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1-day postoperative following a total laryngectomy and has begun a soft diet. The client is not eating well and tells the nurse that the hospital food has no taste. Which of the following responses is appropriate for the nurse to make?

Correct Answer is A

Explanation

A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

Which of the following assessment findings indicates an emergency and the need for immediate action on the part of the nurse?

After observing blood-tinged mucous when suctioning a patient who has just arrived on the medical-surgical unit after a laryngectomy, which action by the nurse is best?

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