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

Choice A rationale

Acute pancreatitis is a condition characterized by inflammation of the pancreas. The most common cause of acute pancreatitis is gallstones, which can become lodged in a bile or pancreatic duct and cause inflammation. Gallstones are hardened deposits of digestive fluid that can form in your gallbladder, and when they block the ducts leading from the gallbladder to the intestines, they can cause sharp pain in the upper abdomen that quickly worsens. This pain can radiate to the back, another common symptom of acute pancreatitis. Therefore, a history of gallstones is a significant factor to anticipate in a client with acute pancreatitis.
Choice B rationale
GERD, or gastroesophageal reflux disease, is a chronic condition where stomach acid flows back up into the esophagus causing heartburn and other symptoms. While GERD can lead to discomfort and complications like esophagitis, it does not typically cause acute pancreatitis.
Choice C rationale
Diabetes mellitus is a chronic condition that affects the body’s ability to use blood sugar for energy. While diabetes can lead to a host of health complications, it is not typically a direct cause of acute pancreatitis.
Choice D rationale
Shock is a life-threatening condition that requires immediate medical attention. It occurs when the body is not getting enough blood flow, leading to insufficient oxygen and nutrients for your cells and organs. Shock can be a result of severe acute pancreatitis, but it is not a cause.

Choice A rationale
Dumping syndrome is a condition that can occur after surgery to remove all or part of your stomach or after an operation to bypass your stomach to help you lose weight. It’s also known as rapid gastric emptying. Dumping syndrome occurs when food, especially sugar, moves from your stomach into your small intestine too quickly. One of the recommended dietary changes for managing dumping syndrome is eating smaller, more frequent meals. This helps to avoid

the rapid emptying of food into the small intestine, thereby preventing the symptoms of dumping syndrome.
Choice B rationale
Sitting up for 5 hours after each meal is not typically recommended for managing dumping syndrome. While it’s advised to take a short rest after eating, the duration doesn’t need to be as long as 5 hours.
Choice C rationale
The symptoms of dumping syndrome can begin soon after eating, especially if the meal is high in sugar. However, they typically start within 10 to 30 minutes, not 5 hours.
Choice D rationale
Drinking lots of fluids with meals is not recommended for those with dumping syndrome. In fact, it’s often advised to avoid drinking fluids until about 30 minutes after a meal to prevent triggering symptoms.