A patient who had gastric bypass surgery 5 weeks ago

20.
A patient who had gastric bypass surgery 5 weeks ago calls the office to report feelings of
nausea, sweating, and diarrhea shortly after eating meals. What response by the nurse is most
appropriate?
a. “This is common after the type of surgery you had.”
b. “How much, if any, alcohol do you consume each day?”
c. “Avoid large meals, limit sweets, and drink small amounts of liquids between
meals.”
d. “You may be experiencing a postoperative infection.”
ANS: C
MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
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Some patients who have had a gastrectomy experience a complication known as the “dumping
syndrome.” The patient has nausea, weakness, abdominal pain, and diarrhea and may feel
faint and perspire profusely or experience palpitations after eating. These sensations are
caused by the rapid passage of large amounts of food and liquid into the jejunum. When a
patient experiences dumping syndrome, instruction is given to avoid eating large meals and to
drink a minimum of fluids during the meal. Fluids may be taken in small amounts later,
between meals. If sweet foods seem to aggravate the condition — and they sometimes do — the
patient should try to avoid them. Although this is not an uncommon manifestation after this
type of surgery, informing the patient that this is common provides limited information to the
patient and is not the best response. This problem is not connected to alcohol consumption
and is not a symptom of a postoperative infection.
PTS: 1 DIF: Cognitive Level: Analysis REF: 647
OBJ: 2 (clinical) TOP: Gastric Bypass: Complications
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
21.
The nurse is caring for a patient who is suspected of having oral cancer. When reviewing the
patient’s health history, which finding provides supportive data for the diagnosis?
PTS: 1 DIF: Cognitive Level: Comprehension REF: 648
MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
OBJ: 2 TOP: Oral Cancer: Risk Factors
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
MULTIPLE RESPONSE
22.
The nurse correctly recognizes that esophageal cancer is associated with which risk factor(s)?
( select all that apply. )
PTS: 1 DIF: Cognitive Level: Comprehension REF: 649
OBJ: 2 TOP: Cancer of the Esophagus: Etiology and Pathophysiology
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