The nurse is observing a patient for the early signs and symptoms of dumping syndrome. Which symptom indicates this occurrence?

Sweating and pallor

Bradycardia and indigestion

Dry skin and stomach pain

Double vision and chest pain

Answer and Explanation

The Correct Answer is A

Choice A rationale
Dumping syndrome is a condition that occurs when food moves too fast from the stomach to the duodenum, usually after a surgery to the stomach. Early signs of dumping syndrome include abdominal cramps, diarrhea, nausea, vomiting, flushing, dizziness, and rapid heart rate. One of the late symptoms of dumping syndrome is sweating. Therefore, sweating and pallor can indicate the occurrence of dumping syndrome.
Choice B rationale
Bradycardia and indigestion are not typically associated with dumping syndrome. While digestive issues can occur, they usually manifest as nausea, vomiting, and diarrhea rather than indigestion.
Choice C rationale
Dry skin and stomach pain are not typically associated with dumping syndrome. The primary symptoms of dumping syndrome are related to the digestive system and the body’s response to rapid changes in blood sugar levels.
Choice D rationale
Double vision and chest pain are not typically associated with dumping syndrome. These symptoms may be indicative of other medical conditions and should be evaluated separately

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Correct Answer is C

Explanation

Choice A rationale
Absence of bowel sounds can be a normal finding post-operatively and is not necessarily a cause for concern.
Choice B rationale
A small amount of bloody drainage on the dressing is not uncommon after surgery and is not typically a cause for concern.
Choice C rationale
A rigid abdomen on palpation is a concerning finding after an appendectomy. It could indicate peritonitis, a serious infection of the abdominal cavity that can occur if the appendix burst before or during surgery.
Choice D rationale
Pain at the operative site is expected after an appendectomy. However, severe or increasing pain could indicate a complication and should be evaluated by a healthcare provider.

A. Expect the patient to express his pain both verbally and nonverbally B. Administer opioids with caution because they will eventually lead to addiction C. Consider the patient’s individual expression of pain D. Use a scale from 0 to 10 to monitor the severity of the patient’s pain

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Pain is a subjective experience and can be expressed both verbally and nonverbally. It is important for the nurse to be attentive to both types of expressions to effectively manage the patient’s pain.
Choice B rationale
While it is true that opioids should be used with caution due to the risk of addiction, this statement can be misleading. Opioids are often necessary for managing postoperative pain, and the risk of addiction is low when they are used appropriately and under medical supervision.
Choice C rationale
Considering the patient’s individual expression of pain is crucial in pain management. Pain is a subjective experience and can vary greatly between individuals. Tailoring pain management strategies to the individual patient can improve pain control.
Choice D rationale
Using a pain scale is a common and effective way to monitor the severity of a patient’s pain. It provides a quantifiable measure of pain that can be used to guide treatment decisions.

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The nurse is observing a patient for the early signs and symptoms of dumping syndrome. Which symptom indicates this occurrence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is monitoring a patient recovering from an emergency appendectomy. Which finding is most concerning?

Correct Answer is C

Explanation

A nurse is caring for a postoperative patient. When helping to manage the patient’s pain, which of the following principles should the nurse apply? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

The nurse is gathering information from a patient with abdominal pain. Which description of pain is consistent with diverticulitis?

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