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

A. "You need the stool softener because it will be hard to defecate while you remain in bed.": This is not the most appropriate response. While immobility can make bowel movements more difficult, the primary concern following pituitary surgery is the avoidance of straining due to the potential for increased intracranial pressure (ICP). The emphasis should be on avoiding pressure on the surgical site rather than general difficulties from immobility.
B. "Any manipulation of the pituitary gland can cause difficulty in defecation, so stool softeners are important after your surgery.": This is misleading. While pituitary surgery may influence certain bodily functions, the most critical concern is preventing straining to avoid raising ICP. The focus should be on explaining the rationale for avoiding pressure on the surgical site.
C. "It is important you do not strain during bowel movements because this could result in increased pressure on your surgical site.": This is the correct response. Straining during bowel movements can increase ICP, which could potentially compromise healing or lead to complications after pituitary surgery. This explanation directly addresses the patient's safety and emphasizes the need for stool softeners to prevent straining.
D. "You can choose not to take the stool softener if you feel you do not need it.": This response is inappropriate because it does not emphasize the importance of preventing straining, which is a critical consideration after pituitary surgery. The nurse should provide education on the necessity of the stool softener to avoid complications rather than leaving the decision solely to the patient.

A. Insulin detemir is a long-acting basal insulin used for maintenance therapy, not for the rapid reduction of blood glucose levels in acute conditions like diabetic ketoacidosis (DKA).
B. NPH insulin is an intermediate-acting insulin used for long-term blood glucose control, but it is not appropriate for immediate treatment of DKA.
C. Insulin glargine is also a long-acting insulin that works over a prolonged period, making it unsuitable for emergency situations like DKA.
D. Regular insulin is the preferred choice for treating diabetic ketoacidosis. It is a short-acting insulin that can rapidly reduce blood glucose levels and is used intravenously for immediate intervention in DKA.