As a result of gastric resection, the client is at risk for developing dumping syndrome. The nurse should prepare a plan of care for this client based on knowledge that this problem stems primarily from which of the following gastrointestinal changes?

Total loss of gastric enzymes

Excess secretion of digestive enzymes in the intestines

Rapid emptying of stomach contents into the small intestine

Excess glycogen production by the liver

Answer and Explanation

The Correct Answer is C

A. Total loss of gastric enzymes is not a primary cause of dumping syndrome. While gastric enzymes may be reduced following gastric surgery, the syndrome is primarily related to the way food moves through the digestive tract.
B. Excess secretion of digestive enzymes in the intestines does not directly cause dumping syndrome. Although enzyme levels can be affected by surgery, dumping syndrome is more about the timing and volume of food delivery to the intestines.
C. Rapid emptying of stomach contents into the small intestine is the primary cause of dumping syndrome. This occurs because the normal regulatory mechanisms of the stomach are bypassed or disrupted after gastric resection, leading to a quick shift of food into the small intestine, which causes symptoms like nausea, diarrhea, and dizziness.
D. Excess glycogen production by the liver is not related to dumping syndrome. This would be more relevant to conditions affecting glucose metabolism, not gastrointestinal emptying.

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Correct Answer is B

Explanation

A. Fecal output from a new colostomy typically begins within 2 to 4 days, not within 24 hours. This is due to the time needed for bowel function to resume after surgery.
B. A small amount of bleeding around the stoma can occur as part of normal healing, especially in the first few days after surgery. It should not be excessive or prolonged.
C. Raw vegetables and high-fiber foods should be avoided immediately after surgery as they can irritate the digestive tract and cause blockages in the stoma. A low-fiber diet is recommended initially.
D. The stoma should initially be red or pink in color, not purplish. A purplish color could indicate impaired circulation, which would require medical attention.

A. Rosebud-like stoma orifice B. Shiny, moist stoma C. Purplish-colored stoma D. Stoma oozing red drainage

Correct Answer is C

Explanation

A. A rosebud-like stoma orifice is a normal finding. It refers to a stoma that has a rounded, pink appearance, which is healthy and typical after surgery.
B. A shiny, moist stoma is a normal finding. This appearance indicates good circulation and healing.
C. A purplish-colored stoma is abnormal and should be reported to the provider immediately. This color suggests possible ischemia or poor circulation, which may require intervention to prevent complications such as necrosis of the stoma.
D. Stoma oozing red drainage is normal, especially in the early postoperative period. It indicates that the stoma is healing properly. However, if the drainage is excessive or if the client shows signs of infection, it would need further evaluation.

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As a result of gastric resection, the client is at risk for developing dumping syndrome. The nurse should prepare a plan of care for this client based on knowledge that this problem stems primarily from which of the following gastrointestinal changes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A nurse in a post-anesthesia care unit (PACU) is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?

Correct Answer is C

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