The nurse is providing teaching to a patient following a gastric bypass. Which statement by the patient indicates an understanding of the need for lifelong monitoring and lifestyle changes?

A. Borborygmi refers to the audible sounds produced by the movement of gas and fluid in the intestines. This can occur in dumping syndrome due to increased intestinal motility and rapid gastric emptying, making this a present manifestation.
B. Nausea and vomiting can occur in dumping syndrome, particularly shortly after eating, due to the rapid movement of food into the small intestine, which can irritate the gut. Therefore, this is a present manifestation.
C. Dizziness can occur in dumping syndrome, often as a result of rapid shifts in blood volume and blood sugar levels after eating. This symptom can be attributed to the body's response to the sudden influx of food and fluid into the intestines, leading to symptoms like weakness and dizziness. Hence, this is a present manifestation.
D. Hypertension is not typically associated with dumping syndrome. In fact, many individuals may experience hypotension (low blood pressure) due to the rapid shift of fluid to the intestines, which can reduce circulating blood volume.

A. Epigastric pain is a common symptom of cholecystitis. Patients often experience pain in the upper abdomen, which can radiate to the right shoulder or back. This symptom is typical in cases of gallbladder inflammation.
B. Murphy's sign is a physical examination finding where the patient experiences pain upon palpation of the right upper quadrant during inspiration. This sign is indicative of gallbladder inflammation and is often associated with cholecystitis. Therefore, it is a manifestation of the condition.
C. Green colored stool is not typically associated with cholecystitis. Stool color can vary based on diet, medications, or the presence of bile. While pale or clay-colored stools can occur with obstruction of bile flow (such as with gallstones), green stools are more often related to rapid transit through the intestines, dietary factors, or certain infections rather than cholecystitis itself.
D. Nausea and vomiting are common symptoms of cholecystitis. Patients may experience these symptoms due to the inflammation and irritation of the gastrointestinal tract associated with gallbladder issues.