The nurse is educating a patient about bariatric surgery and dumping syndrome. Which statement indicates that the patient comprehends dumping syndrome?

I need to eat small frequent meals.

I need to sit up for 5 hours after each meal.

I can expect the symptoms to begin 5 hours after eating.

I should drink lots of fluids with meals.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is B

Explanation

Choice A rationale
Acquired hemolytic anemia is a condition where the body destroys red blood cells faster than it can produce them, but it is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.
Choice B rationale
Pernicious anemia is a condition that can develop in patients who have had a large portion of their stomach surgically removed. This is because the stomach plays a crucial role in the absorption of vitamin B12. Without sufficient stomach tissue, the body may not be able to

absorb enough vitamin B12 from food, leading to a deficiency. Therefore, these patients often require lifelong vitamin B12 supplementation.
Choice C rationale
Iron-deficiency anemia is typically caused by a lack of iron in the diet, not a lack of vitamin B12. Therefore, patients with this condition would not typically require lifelong vitamin B12 supplementation following stomach surgery.
Choice D rationale
Sickle cell anemia is a genetic disorder that affects the shape and function of red blood cells. It is not typically associated with the need for lifelong vitamin B12 supplementation following stomach surgery.

A. Irritable bowel syndrome B. Crohn’s disease C. Gastric ulcers D. Gastroesophageal reflux disease (GERD)

Correct Answer is C

Explanation

Choice A rationale

Sucralfate is not commonly used to treat irritable bowel syndrome. Irritable bowel syndrome is typically managed with dietary modifications, stress management, and medications to control specific symptoms such as constipation or diarrhea.

Choice B rationale

Sucralfate is not commonly used to treat Crohn’s disease. Crohn’s disease is an inflammatory bowel disease that is typically managed with anti-inflammatory medications, immune system suppressors, and antibiotics.

Choice C rationale

Sucralfate is commonly used to treat gastric ulcers. It works by forming a protective barrier over the ulcer, which helps protect the ulcer from further damage by stomach acid and allows it to heal.

Choice D rationale

While sucralfate can be used to treat symptoms of gastroesophageal reflux disease (GERD), it is not the first-line treatment. Other medications, such as proton pump inhibitors and H2 blockers, are typically used first.

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The nurse is educating a patient about bariatric surgery and dumping syndrome. Which statement indicates that the patient comprehends dumping syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who had a large portion of the stomach surgically removed will need to receive vitamin B12 for life due to which condition?

Correct Answer is B

Explanation

Sucralfate is a medication commonly used to treat which of the following gastrointestinal conditions?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A nurse is preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer?

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A nurse is providing instructions to a patient who has a new diagnosis of dumping syndrome following gastric surgery. Which of the following information should the nurse include?

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