In order to prevent dumping syndrome after Gastric Bypass surgery, the nurse will instruct the client to....

Take a brisk walk after eating.

Avoid excessive sugar and carbohydrates.

Increase fluid intake with meals.

Take the proton pump inhibitors as prescribed.

Answer and Explanation

The Correct Answer is B

Dumping syndrome is a common complication after Gastric Bypass surgery, where food moves too quickly from the stomach to the small intestine. It occurs when the undigested contents of the stomach are "dumped" rapidly into the small intestine, leading to symptoms such as nausea, vomiting, abdominal cramps, diarrhea, lightheadedness, and sweating.

To manage dumping syndrome, it is important for the client to avoid foods and beverages that are high in sugar and carbohydrates. Consuming these types of foods can trigger rapid gastric emptying and exacerbate the symptoms. Instead, the client should focus on a well-balanced diet that includes lean proteins, healthy fats, and complex carbohydrates.

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Correct Answer is ["B","C","D","E"]

Explanation

The initial bundle of care in sepsis includes the following:

Obtain blood cultures: Blood cultures help identify the specific microorganism causing the infection, which is important for guiding appropriate antibiotic therapy.
Administer broad-spectrum antibiotics: Early administration of antibiotics is crucial in sepsis to target the suspected or likely infectious organisms. Broad-spectrum antibiotics cover a wide range of potential pathogens until more specific information from culture results is available.
Obtain lactate levels: Measuring lactate levels helps assess tissue perfusion and can be used as an indicator of the severity of sepsis. Elevated lactate levels are associated with tissue hypoperfusion and increased mortality.
Administer IV fluid bolus: Early aggressive fluid resuscitation is an essential component of sepsis management. Administering intravenous fluids helps restore intravascular volume and improve tissue perfusion.
Administration of vasopressors: Especially in the setting of hypotension and to maintain MAP above 65mmHg.

A. Serum creatinine and urea levels. B. Degree of altered mental status. C. Glomerular filtration rate (GFR). D. Total daily urine output.

Correct Answer is C

Explanation

The glomerular filtration rate is a measure of how effectively the kidneys filter waste and excess fluid from the blood. It is a key indicator of kidney function. CKD is staged based on the GFR, which provides an estimate of the percentage of normal kidney function remaining.

While serum creatinine and urea levels are important markers used to assess kidney function, they are not the sole criteria for staging CKD. The degree of altered mental status and total daily urine output are important clinical observations but are not used for staging CKD.

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In order to prevent dumping syndrome after Gastric Bypass surgery, the nurse will instruct the client to....

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The initial bundle of care in sepsis includes which of the following? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

In replying to a client's questions about the seriousness of the chronic kidney disease (CKD), the nurse knows that the stage of CKD is based on what?

Correct Answer is C

Explanation

During the first few days after surgery for cleft lip, which intervention should the nurse implement?

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As a nurse caring for a school-age child, the nurse may anticipate which primary stressor/fear?

Which assessment finding is the best Indicator to the nurse that a client's peristaltic activity (Gl motility) has resumed after surgery?

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A patient is scheduled for surgery at 1:00 PM today. The nurse knows that surgery will most likely need to be rescheduled when the patient states...

A client had surgery yesterday and is reporting abdominal discomfort and lack of appetite. The nurse auscultates the abdomen and does not detect bowel sounds. The nurse suspected which type of bowel obstruction?