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A nurse is caring for a male client who is postoperative.

Exhibits

Which of the following client findings should the nurse identify as being consistent with dumping syndrome? Select all that apply.

A.

Vital signs

B.

Prescribed diet

C.

Skin appearance

D.

Blood glucose level

E.

WBC count

Answer and Explanation

Correct Answer : A,C,D

A. Vital signs. The client has a significantly elevated heart rate (110/min) and elevated blood pressure (178/82 mm Hg), both of which can be associated with autonomic responses in dumping syndrome. The dizziness and desire to lie down after eating are also classic symptoms. These signs reflect the body’s reaction to rapid gastric emptying and fluid shifts.
B. Prescribed diet. While a bland, soft diet is generally safe post-gastrectomy, it may not prevent dumping syndrome unless it includes specific modifications like low carbohydrate intake and small, frequent meals. However, this option alone does not directly indicate dumping syndrome.
C. Skin appearance. The client is noted to be diaphoretic and pale, which are common symptoms of dumping syndrome due to the vasomotor response and hypoglycemia that can follow rapid gastric emptying.
D. Blood glucose level. The client's fasting blood glucose dropped to 65 mg/dL, which is below the normal range. Hypoglycemia is a hallmark of late dumping syndrome, resulting from excessive insulin release after rapid carbohydrate absorption in the small intestine.
E. WBC count. The WBC count is within normal range (9,000/mm³) and does not indicate dumping syndrome or an infectious process. It is not relevant in this context.
 


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Related Questions

Correct Answer is ["200"]

Explanation

Total volume to infuse = 100 mL

Infusion time = 30 minutes

  • Convert infusion time to hours:

1hr = 60 minutes

30 minutes / 60 minutes/hour = 0.5 hours

  • Calculate the infusion rate in mL per hour:

Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hours)

= 100 mL / 0.5 hours

= 200 mL/hr

Correct Answer is D

Explanation

A. "Why are you eating seaweed soup?" This response is judgmental and dismissive of the client’s cultural practices. It can make the client feel misunderstood or disrespected.
B. "The hospital food is more nutritious for you." This statement is inaccurate and culturally insensitive, assuming that hospital food is superior without recognizing the nutritional and emotional value of traditional foods.
C. "Does the doctor know that you are eating that?" This implies unnecessary medical concern and may make the client feel like her personal choices require approval, which can be disempowering and disrespectful.
D. "Of course, I will heat that up for you." This response is supportive and culturally competent, respecting the client's traditions and preferences while promoting comfort and emotional well-being during the postpartum period.

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