A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How does the nurse explain dumping syndrome?

A. Dumping syndrome is not related to the increased secretion of bile and pancreatic enzymes; it occurs when food passes too quickly from the stomach into the small intestine.
B. Dumping syndrome is not caused by a decrease in insulin secretion, but rather by rapid gastric emptying that can result in fluctuating blood sugar levels.
C. Dumping syndrome occurs when food moves too quickly from the stomach into the small intestine, causing a sudden release of insulin and other gastrointestinal symptoms, such as nausea, diarrhea, and dizziness.
D. While high-fat foods can be problematic for some gastric bypass patients, dumping syndrome is specifically related to rapid gastric emptying and not the inability to digest fat.

A. Purple striations: This is correct. One of the characteristic manifestations of Cushing's syndrome is the development of purple or reddish stretch marks (striae) on the skin, which are caused by the weakening of the skin due to excessive cortisol.
B. Tremors: This is not typically a manifestation of Cushing's syndrome. Tremors are more commonly seen in conditions such as hyperthyroidism or neurological disorders, not in Cushing's syndrome.
C. Hypertension: This is correct. Elevated cortisol levels in Cushing's syndrome can lead to fluid retention, sodium retention, and increased blood pressure, resulting in hypertension.
D. Buffalo hump: This is correct. A buffalo hump, or a fatty accumulation on the upper back and neck, is a common feature of Cushing's syndrome. It is caused by the redistribution of fat due to elevated cortisol levels.
E. Moon face: This is correct. "Moon face" refers to the round, puffy face that is a hallmark sign of Cushing's syndrome. The face becomes swollen due to fat accumulation, a result of high cortisol levels.