A patient who had gastric bypass surgery 5 weeks ago

This preview shows page 7 - 9 out of 11 pages.

20.A patient who had gastric bypass surgery 5 weeks ago calls the office to report feelings ofnausea, sweating, and diarrhea shortly after eating meals. What response by the nurse is mostappropriate?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 betweenmeals.”d.“You may be experiencing a postoperative infection.”ANS: CMEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
NURSINGTB.COM
Some patients who have had a gastrectomy experience a complication known as the “dumpingsyndrome.” The patient has nausea, weakness, abdominal pain, and diarrhea and may feelfaint and perspire profusely or experience palpitations after eating. These sensations arecaused by the rapid passage of large amounts of food and liquid into the jejunum. When apatient experiences dumping syndrome, instruction is given to avoid eating large meals and todrink a minimum of fluids during the meal. Fluids may be taken in small amounts later,between meals. If sweet foods seem to aggravate the conditionand they sometimes dothepatient should try to avoid them. Although this is not an uncommon manifestation after thistype of surgery, informing the patient that this is common provides limited information to thepatient and is not the best response. This problem is not connected to alcohol consumptionand is not a symptom of a postoperative infection.PTS: 1DIF:Cognitive Level: AnalysisREF: 647OBJ: 2 (clinical)TOP: Gastric Bypass: ComplicationsKEY: Nursing Process Step: ImplementationMSC: NCLEX: Health Promotion and Maintenance21.The nurse is caring for a patient who is suspected of having oral cancer. When reviewing thepatient’s health history, which finding provides supportive data for the diagnosis?PTS: 1DIF:Cognitive Level: ComprehensionREF: 648MEDICAL SURGICAL NURSING CONCEPTS AND PRACTICE 3RD EDITION DEWIT TEST BANK
OBJ: 2TOP: Oral Cancer: Risk FactorsKEY: Nursing Process Step: AssessmentMSC: NCLEX: Physiological Integrity: Physiological AdaptationMULTIPLE RESPONSE22.The nurse correctly recognizes that esophageal cancer is associated with which risk factor(s)?(select all that apply.)
PTS: 1DIF:Cognitive Level: ComprehensionREF: 649OBJ: 2TOP:Cancer of the Esophagus: Etiology and PathophysiologyNURSINGTB.COM

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 11 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Spring
Professor
Potter
Tags
morbid obesity, gastritis, Care of Patients

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture