The nurse is observing a patient for the early signs and symptoms of dumping syndrome. Which symptom indicates this occurrence?

Sweating and pallor

Bradycardia and indigestion

Dry skin and stomach pain

Double vision and chest pain

Answer and Explanation

The Correct Answer is A

Choice A rationale
Dumping syndrome is a condition that occurs when food moves too fast from the stomach to the duodenum, usually after a surgery to the stomach. Early signs of dumping syndrome include abdominal cramps, diarrhea, nausea, vomiting, flushing, dizziness, and rapid heart rate. One of the late symptoms of dumping syndrome is sweating. Therefore, sweating and pallor can indicate the occurrence of dumping syndrome.
Choice B rationale
Bradycardia and indigestion are not typically associated with dumping syndrome. While digestive issues can occur, they usually manifest as nausea, vomiting, and diarrhea rather than indigestion.
Choice C rationale
Dry skin and stomach pain are not typically associated with dumping syndrome. The primary symptoms of dumping syndrome are related to the digestive system and the body’s response to rapid changes in blood sugar levels.
Choice D rationale
Double vision and chest pain are not typically associated with dumping syndrome. These symptoms may be indicative of other medical conditions and should be evaluated separately

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Correct Answer is A

Explanation

Choice A rationale
Limiting the intake of fluids during meals can help prevent dumping syndrome after a gastrectomy. Drinking fluids during meals can speed up gastric emptying, leading to a rapid release of glucose into the bloodstream and causing symptoms of dumping syndrome.
Therefore, it’s recommended to drink fluids between meals rather than with meals.
Choice B rationale
Maintaining a high Fowler’s position during meals is not typically recommended to prevent dumping syndrome. This position does not have a significant impact on the speed of gastric emptying.
Choice C rationale

Urinating after a meal does not help prevent dumping syndrome. Dumping syndrome is related to the speed of gastric emptying, not urinary habits.
Choice D rationale
Consuming high-carbohydrate foods can actually exacerbate dumping syndrome. High- carbohydrate foods can cause a rapid increase in blood glucose levels, followed by a rapid drop, leading to symptoms of dumping syndrome.

A. Flank pain B. Watery diarrhea C. Fecal vomiting D. Occult blood in the stool

Correct Answer is C

Explanation

Choice A rationale
Flank pain is not typically associated with a bowel obstruction. It is more commonly associated with kidney problems.
Choice B rationale
Watery diarrhea is not typically a symptom of bowel obstruction. Bowel obstruction usually causes constipation and inability to pass gas or stool.
Choice C rationale
Fecal vomiting is a serious symptom that can occur in severe cases of bowel obstruction. It indicates a significant blockage in the digestive tract that needs immediate medical attention.
Choice D rationale
Occult blood in the stool can be a symptom of many conditions, including bowel obstruction. However, it is not the most concerning symptom in this context.

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The nurse is observing a patient for the early signs and symptoms of dumping syndrome. Which symptom indicates this occurrence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing discharge instructions to a client who has undergone a gastrectomy. Which strategy should the nurse include in the teaching to help prevent dumping syndrome?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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