The nurse is educating a patient about bariatric surgery and dumping syndrome. Which statement indicates that the patient comprehends dumping syndrome?

I need to eat small frequent meals.

I need to sit up for 5 hours after each meal.

I can expect the symptoms to begin 5 hours after eating.

I should drink lots of fluids with meals.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Dumping syndrome is a condition that can occur after surgery to remove all or part of your stomach or after an operation to bypass your stomach to help you lose weight. It’s also known as rapid gastric emptying. Dumping syndrome occurs when food, especially sugar, moves from your stomach into your small intestine too quickly. One of the recommended dietary changes for managing dumping syndrome is eating smaller, more frequent meals. This helps to avoid

the rapid emptying of food into the small intestine, thereby preventing the symptoms of dumping syndrome.
Choice B rationale
Sitting up for 5 hours after each meal is not typically recommended for managing dumping syndrome. While it’s advised to take a short rest after eating, the duration doesn’t need to be as long as 5 hours.
Choice C rationale
The symptoms of dumping syndrome can begin soon after eating, especially if the meal is high in sugar. However, they typically start within 10 to 30 minutes, not 5 hours.
Choice D rationale
Drinking lots of fluids with meals is not recommended for those with dumping syndrome. In fact, it’s often advised to avoid drinking fluids until about 30 minutes after a meal to prevent triggering symptoms.

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Correct Answer is B

Explanation

Choice A rationale
Acquired hemolytic anemia is a condition where the body destroys red blood cells faster than it can produce them, but it is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.
Choice B rationale
Pernicious anemia is a condition that can develop in patients who have had a large portion of their stomach surgically removed. This is because the stomach plays a crucial role in the absorption of vitamin B12. Without sufficient stomach tissue, the body may not be able to

absorb enough vitamin B12 from food, leading to a deficiency. Therefore, these patients often require lifelong vitamin B12 supplementation.
Choice C rationale
Iron-deficiency anemia is typically caused by a lack of iron in the diet, not a lack of vitamin B12. Therefore, patients with this condition would not typically require lifelong vitamin B12 supplementation following stomach surgery.
Choice D rationale
Sickle cell anemia is a genetic disorder that affects the shape and function of red blood cells. It is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.

A. Monitor peripheral pulses every 8 hr. B. Ambulate the client three times daily. C. Maintain NPO status. D. Measure urine output every 4 hr.

Correct Answer is C

Explanation

Choice A rationale
Monitoring peripheral pulses every 8 hours is not a specific intervention for a client who has acute pancreatitis. While it is important to monitor peripheral pulses as part of overall patient assessment, it does not directly address the needs of a patient with acute pancreatitis.
Choice B rationale
Ambulating the client three times daily is not a specific intervention for a client who has acute pancreatitis. While physical activity is generally beneficial for overall health, it does not directly address the needs of a patient with acute pancreatitis, especially during an acute attack.
Choice C rationale
Maintaining NPO (nothing by mouth) status is a common intervention for a client who has acute pancreatitis. This allows the pancreas to rest and recover, reducing inflammation and pain.
Choice D rationale
Measuring urine output every 4 hours is not a specific intervention for a client who has acute pancreatitis. While it is important to monitor urine output as part of overall patient assessment, it does not directly address the needs of a patient with acute pancreatitis.

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The nurse is educating a patient about bariatric surgery and dumping syndrome. Which statement indicates that the patient comprehends dumping syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?

Correct Answer is B

Explanation

A nurse is contributing to the plan of care for a client who has acute pancreatitis. Which of the following interventions should the nurse include?

Correct Answer is C

Explanation

A nurse is assisting with a class about the long-term effects of childhood obesity. Which of the following conditions should the nurse include as a potential complication of childhood obesity?

The nurse is explaining to a patient the purpose of certain lab tests that have been ordered. A carcinoembryonic antigen (CEA) test was ordered and the patient is asking what this value will indicate. Which of the following is correct?

A nurse is reinforcing teaching about pain control with a client who has acute pain following gastric surgery. Which of the following client statements indicates an understanding of pain control?

A nurse is gathering information from a patient who is experiencing a perforation of a peptic ulcer. Which of the following symptoms should the nurse anticipate?

The nurse is educating a patient about dumping syndrome and food choices. Which of these foods should the patient avoid?

A patient has been educated on preventative measures for gastroesophageal reflux disease. Which statement by the patient suggests that the teaching has been successful?

A nurse is providing dietary advice to a patient who has GERD. Which of the following food choices by the patient would indicate an understanding of the advice?

The nurse in the GI Suite is preparing a patient for an Esophagogastroduodenoscopy (EGD). Which statement below indicates the patient may need some additional teaching?