The nurse is monitoring a client who just finished a meal for vasomotor manifestations of dumping syndrome. Which of the following findings indicate this occurrence?
Dizziness and pallor
Abdominal cramping and pain
Bradycardia and indigestion
Double vision and chest pain
The Correct Answer is A
Choice A reason: Dizziness and pallor are common vasomotor symptoms of early dumping syndrome. They result from the rapid shift of fluid into the intestine, leading to a decrease in blood volume and a temporary decrease in blood pressure.
Choice B reason: Abdominal cramping and pain are gastrointestinal symptoms of dumping syndrome but are not specifically vasomotor manifestations. They occur due to the rapid entry of hyperosmolar contents into the small intestine.
Choice C reason: Bradycardia is not typically a symptom of dumping syndrome. Instead, tachycardia is more commonly observed due to the body's response to the rapid changes in the gastrointestinal tract and blood volume.
Choice D reason: Double vision and chest pain are not typical symptoms of dumping syndrome. These symptoms may indicate other medical conditions and should be evaluated separately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A BUN level of 8 mg/dL and creatinine level of 0.7 mg/dL are within normal ranges and would not be expected in a client with CKD².
Choice B reason: Elevated BUN and creatinine levels, such as 45 mg/dL and 8 mg/dL respectively, are indicative of impaired kidney function, which is consistent with CKD².
Choice C reason: A BUN level of 10 mg/dL and creatinine level of 0.3 mg/dL are lower than the expected values for a client with CKD, indicating better kidney function than typically seen in CKD².
Choice D reason: A BUN level of 23 mg/dL and creatinine level of 1.0 mg/dL may be slightly elevated but are not as indicative of CKD as the values in choice B².
Correct Answer is A
Explanation
Choice A reason: Frequent nosebleeds and bruising are indicative of coagulopathy, a common complication in advanced cirrhosis due to the liver's impaired ability to synthesize clotting factors. This can lead to an increased tendency to bleed.
Choice B reason: Urinary retention is not typically associated with cirrhosis. Instead, cirrhosis can lead to renal dysfunction known as hepatorenal syndrome, characterized by the failure of the kidneys to filter waste from the blood².
Choice C reason: While constipation can occur in cirrhosis, no bowel movement in three days is not a direct complication of cirrhosis. However, it could be related to the overall health status of the patient or medications used.
Choice D reason: Increased blood glucose is not a direct complication of cirrhosis. Cirrhosis primarily affects the metabolism of proteins and fats and does not directly cause hyperglycemia unless there is concurrent diabetes or metabolic syndrome.
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