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 reason: A BUN level of 20 mg/dL is within the normal range (7-20 mg/dL) and does not indicate an increased risk of AKI.

Choice B reason: Serum Osmolality of 290 mOsm/kg H2O is within the normal range (275-295 mOsm/kg H2O) and does not suggest an increased risk of AKI.

Choice C reason: A Magnesium level of 2.0 mEq/L is within the normal range (1.7-2.2 mEq/L) and does not indicate an increased risk of AKI.

Choice D reason: An elevated serum creatinine level, such as 1.8 mg/dL, indicates decreased kidney function and is a risk factor for AKI, especially post-MI where the kidneys may be vulnerable due to reduced cardiac output and potential nephrotoxic interventions.

A. "I was an intravenous drug abuser in the past and shared needles." B. "I ate shellfish about 2 weeks ago at a local restaurant." C. "I had a blood transfusion 30 years ago after major abdominal surgery." D. "I have had unprotected sex with multiple partners."

Correct Answer is B

Explanation

Choice A reason:While sharing needles can transmit hepatitis, it is more commonly associated with hepatitis B and C, not hepatitis A.

Choice B reason:Eating shellfish from contaminated water is a well-known route of transmission for hepatitis A, aligning with the client's symptoms.

Choice C reason:Blood transfusions were a risk for hepatitis transmission in the past, but since the 1990s, blood products are screened for hepatitis, making this an unlikely source.

Choice D reason:Unprotected sex can be a route of transmission for hepatitis, but hepatitis A is more commonly spread through ingestion of contaminated food or water, not sexual contact.

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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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