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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Renal function is not reestablished during the oliguric phase of acute kidney injury. This phase is characterized by significantly reduced urine output, indicating ongoing impaired kidney function.
Choice B reason: Urine output of less than 400 mL per 24 hours is a defining feature of the oliguric phase. This reduced output reflects the kidneys' inability to filter and excrete waste products effectively.
Choice C reason: BUN (Blood Urea Nitrogen) and creatinine levels do not decrease during the oliguric phase; they typically increase due to the kidneys' reduced ability to clear these waste products from the blood.
Choice D reason: The glomerular filtration rate (GFR) does not recover during the oliguric phase. This phase is marked by a decreased GFR, indicating poor kidney function.
Correct Answer is B
Explanation
Choice A reason: Increasing need for pain medication is not a typical outcome expected when a client is educated about their new colostomy. Proper education can help manage and reduce pain through better understanding and care techniques. The objective is often to reduce discomfort by teaching clients how to care for their colostomy properly, thus reducing complications and the associated pain.
Choice B reason: Report of empowerment is the expected outcome. Education aims to make the client feel capable and confident in managing their new condition. Empowerment indicates that the client understands their condition and feels confident in their ability to manage their colostomy, which can improve their overall quality of life and reduce the psychological impact of the procedure. Empowerment also helps in reducing the dependency on healthcare professionals and promotes self-care.
Choice C reason: An increase in the length of care in the healthcare facility is not an expected outcome. Proper patient education should ideally reduce the length of stay in the healthcare facility by equipping the client with the knowledge and skills needed to manage their colostomy at home, thus reducing the need for prolonged hospital stays.
Choice D reason: Reporting of anxiety is not the desired outcome. While some initial anxiety might be expected, the goal of patient education is to reduce anxiety by providing the client with the necessary information and skills to feel confident in managing their colostomy. Effective education should help alleviate anxiety by addressing concerns and providing support and reassurance.
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