The patient is having a gastroduodenostomy (Billroth I operation) for stomach cancer. Which complication is occurring when the patient reports generalized weakness, sweating, palpitations, and dizziness 15 minutes after eating?

Dumping syndrome

Bile reflux gastritis

Postprandial hypoglycemia

Malnutrition

Answer and Explanation

The Correct Answer is A

Choice A reason: Dumping syndrome is a common complication after a gastroduodenostomy, where food moves too quickly from the stomach to the small intestine. Symptoms such as weakness, sweating, palpitations, and dizziness shortly after eating are typical indicators of this condition. This happens because the rapid passage of food causes fluid shifts in the body and a release of gut hormones that can lead to the symptoms experienced.
Choice B reason: Bile reflux gastritis involves the backflow of bile into the stomach, which can cause inflammation and discomfort. However, it does not typically present with the acute symptoms described in this scenario, such as weakness and dizziness shortly after eating. Symptoms of bile reflux gastritis usually include chronic pain, nausea, and vomiting.
Choice C reason: Postprandial hypoglycemia occurs when blood sugar levels drop significantly after eating. While it can cause symptoms like dizziness and weakness, it typically occurs a few hours after a meal, not 15 minutes post-consumption. The timing of the symptoms described aligns more with dumping syndrome.
Choice D reason: Malnutrition refers to the lack of proper nutrition caused by not having enough food or not eating the right things. It does not typically present with acute symptoms like those described in the question. Chronic symptoms of malnutrition include weight loss, fatigue, and weakness over a longer period.

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Correct Answer is C

Explanation

Choice A reason: Dehydration can cause muscle cramping, but it is not the most specific indicator of acute pancreatitis. The focus in this condition is more on electrolyte imbalances and systemic effects.
Choice B reason: Hypermagnesemia, or elevated magnesium levels, can lead to muscle weakness rather than cramping. It is not a common symptom of acute pancreatitis.
Choice C reason: Hypocalcemia, or low calcium levels, is a typical sign of acute pancreatitis and can cause muscle cramping and spasms. The inflammation of the pancreas can lead to the sequestration of calcium in fatty areas, resulting in low serum calcium levels.
Choice D reason: Hyperkalemia, or elevated potassium levels, can cause muscle weakness and cardiac issues but is not specifically associated with muscle cramping in acute pancreatitis.

A. Include foods high in fiber. B. Include foods high in starch and proteins. C. Avoid foods high in sodium. D. Avoid foods high in fat.

Correct Answer is D

Explanation

Choice A reason: Including foods high in fiber can be beneficial for overall digestive health, but it is not specifically targeted to managing biliary colic from chronic cholecystitis. The key dietary focus for these patients is to manage fat intake rather than fiber.
Choice B reason: Including foods high in starch and proteins does not directly address the dietary needs for managing biliary colic. While proteins and starches are part of a balanced diet, the critical factor for these patients is fat consumption.
Choice C reason: Avoiding foods high in sodium is generally good advice for cardiovascular health and can help reduce the risk of hypertension, but it is not specifically related to managing biliary colic.
Choice D reason: Avoiding foods high in fat is crucial for patients with chronic cholecystitis. High-fat foods can trigger biliary colic by stimulating the gallbladder to release bile, which can be painful when the bile ducts are inflamed or obstructed.

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The patient is having a gastroduodenostomy (Billroth I operation) for stomach cancer. Which complication is occurring when the patient reports generalized weakness, sweating, palpitations, and dizziness 15 minutes after eating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An acute pancreatitis patient who complains of muscle cramping. The nurse explains to the patient that is the typical sign and symptom of? Select best answer.

Correct Answer is C

Explanation

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

Correct Answer is D

Explanation

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