The nurse is monitoring a client who just finished a meal for vasomotor manifestations of dumping syndrome. Which of the following findings indicate this occurrence?

Dizziness and pallor

Abdominal cramping and pain

Bradycardia and indigestion

Double vision and chest pain

Answer and Explanation

The Correct Answer is A

Choice A reason: Dizziness and pallor are common vasomotor symptoms of early dumping syndrome. They result from the rapid shift of fluid into the intestine, leading to a decrease in blood volume and a temporary decrease in blood pressure.

Choice B reason: Abdominal cramping and pain are gastrointestinal symptoms of dumping syndrome but are not specifically vasomotor manifestations. They occur due to the rapid entry of hyperosmolar contents into the small intestine.

Choice C reason: Bradycardia is not typically a symptom of dumping syndrome. Instead, tachycardia is more commonly observed due to the body's response to the rapid changes in the gastrointestinal tract and blood volume.

Choice D reason: Double vision and chest pain are not typical symptoms of dumping syndrome. These symptoms may indicate other medical conditions and should be evaluated separately.

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Correct Answer is D

Explanation

Choice A: Lactated Ringer’s

Lactated Ringer’s solution is an isotonic crystalloid that contains electrolytes similar to those found in blood plasma. While it is commonly used for fluid resuscitation, it does not provide a significant source of calories and therefore is not the best option to temporarily replace TPN.

Choice B: 0.9% sodium chloride

0.9% sodium chloride, also known as normal saline, is an isotonic solution that is used to expand volume and correct electrolyte imbalances. Like Lactated Ringer’s, it does not contain a significant amount of calories and is not suitable as a temporary replacement for TPN.

Choice C: 3% sodium chloride

3% sodium chloride is a hypertonic saline solution used in controlled settings to treat specific conditions such as hyponatremia. Due to its high concentration of sodium, it is not appropriate for routine fluid replacement and does not provide calories.

Choice D: Dextrose 10% in water

D10W is the preferred choice in this scenario because it provides a source of glucose, which can help maintain blood glucose levels when TPN is not available. It is important to monitor the patient’s blood glucose levels while infusing D10W to ensure they remain within a safe range. When a TPN container is delayed, Dextrose 10% in water is the most appropriate temporary solution to infuse until the next container becomes available, as it provides necessary calories in the form of glucose to the patient.

A. The client states that pain occurs 30 minutes to 60 minutes after a meal. B. The client states that pain often occurs at night. C. The client reports a sensation of bloating. D. The client reports pain relieved by eating. E. The client experiences pain upon palpation of the epigastric region.

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A reason: Pain occurring 30 to 60 minutes after a meal is a common symptom of gastric ulcers due to the increased gastric acid secretion during digestion that can aggravate the ulcer.

Choice B reason: Pain at night is also typical for gastric ulcers as the circadian rhythm can influence acid secretion, potentially leading to increased discomfort during the night.

Choice C reason: A sensation of bloating can be associated with gastric ulcers due to delayed gastric emptying or increased sensitivity of the stomach lining.

Choice D reason:Pain relieved by eating is indicative of gastric ulcers because food can act as a buffer to stomach acid, temporarily relieving pain².

Choice E reason:Pain upon palpation of the epigastric region is expected in clients with gastric ulcers due to the localized inflammation and sensitivity of the stomach lining².

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The nurse is monitoring a client who just finished a meal for vasomotor manifestations of dumping syndrome. Which of the following findings indicate this occurrence?

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Naxlex Comprehensive Predictor Exams

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