What complications should the nurse look for in someone with gastric surgery?

Dumping syndrome

Hypothyroidism

Pulmonary embolism

Urinary tract infection

Answer and Explanation

The Correct Answer is A

Choice A rationale
Dumping syndrome is a common complication after gastric surgery. It is a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. It’s called "dumping" because the contents of the stomach are "dumped" into the small intestine too quickly.
Choice B rationale
Hypothyroidism is not typically a complication of gastric surgery. Hypothyroidism is a condition in which the thyroid gland does not produce enough thyroid hormones. It is not directly related to gastric surgery.

Choice C rationale
While pulmonary embolism is a potential complication of any surgery due to the risk of blood clots, it is not specific to gastric surgery.
Choice D rationale
Urinary tract infections are not typically a complication of gastric surgery. They occur when bacteria enter the urinary tract, and are not directly related to gastric surgery.

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Correct Answer is C

Explanation

Choice A rationale
Carcinoembryonic Antigen (CEA) is a protein used as a tumor marker, particularly for cancers of the gastrointestinal tract. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice B rationale
B12 level is important for nerve function and the formation of red blood cells. It is not directly related to volume depletion caused by gastrointestinal illnesses.
Choice C rationale
Electrolyte imbalance is the correct answer. Gastrointestinal illnesses often cause symptoms such as vomiting and diarrhea, which can lead to significant loss of fluids and electrolytes.
Monitoring electrolyte levels is crucial in these cases to prevent complications related to volume depletion.

Choice D rationale
Hemoglobin level is an indicator of the amount of oxygen-carrying protein in the blood. While it is an important lab value, it is not the most relevant in the context of volume depletion due to gastrointestinal illnesses.

A. Headache B. Muscle pain C. Increased appetite D. Gastrointestinal bleeding

Correct Answer is D

Explanation

Choice A rationale
While headaches can be a side effect of many medications, they are not typically associated with daily aspirin intake.
Choice B rationale

Muscle pain is not a common side effect of daily aspirin intake. It may be associated with conditions such as fibromyalgia or side effects of other medications.
Choice C rationale
Increased appetite is not a known side effect of daily aspirin intake.
Choice D rationale
Gastrointestinal bleeding is a well-known potential side effect of daily aspirin intake. Aspirin can irritate the stomach lining, leading to ulcers and bleeding.

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What complications should the nurse look for in someone with gastric surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Gastrointestinal illnesses cause symptoms of anorexia, vomiting, and diarrhea. Which lab value should the nurse monitor related to volume depletion?

Correct Answer is C

Explanation

The nurse is caring for a client who takes aspirin three times daily. Which of the following is a potential side effect of daily aspirin intake?

Correct Answer is D

Explanation

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer?

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?

A home health nurse is visiting a client who has COPD and is receiving oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing.What is the nurse’s priority action?

The physician orders a patient with a duodenal ulcer to take a UREA breath test. Which lab value will the test measure to determine if H. Pylori is present?

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

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?

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 preparing to administer aspirin 650 mg orally. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Note: This is a med math nd does not require options.)