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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
It is important for patients to have a clear understanding of their surgical procedure before providing informed consent. The nurse should take the responsibility to ensure that the patient receives all the necessary information and has any questions or concerns addressed. By providing a thorough explanation of the planned surgical procedure, the nurse can help the patient make an informed decision and clarify any misunderstandings.
While notifying the surgeon or the operating room nurse may be appropriate in some situations, the initial response should be to address the patient's concerns directly and provide the necessary information. Administering preoperative antibiotics and withholding sedative medications is unrelated to the issue of the patient's understanding and informed consent. The primary focus should be on ensuring that the patient has a clear understanding of the surgical procedure and feels confident in giving informed consent.
Correct Answer is A
Explanation
A 3% saline solution is a hypertonic solution used to increase serum sodium levels in cases of severe hyponatremia. However, it can lead to fluid overload and pulmonary edema. The presence of crackles throughout both lung fields indicates the accumulation of fluid in the lungs, which is a serious adverse outcome.
The patient's radial pulse rate of 105 beats/min is within a normal range and does not directly indicate an adverse effect of the saline infusion.
The presence of sediment and blood in the patient's urine may be unrelated to the 3% saline infusion and could indicate other issues such as urinary tract infection or kidney injury.
An increase in blood pressure from 66/50 to 122/74 mmHg is an expected effect of a hypertonic solution like 3% saline, as it can cause an increase in intravascular volume. While the increase in blood pressure is significant, it does not represent an adverse outcome specific to the infusion itself.
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