The patient is having a gastroduodenostomy (Billroth I operation) for stomach cancer. Which complication is occurring when the patient reports generalized weakness, sweating, palpitations, and dizziness 15 minutes after eating?

Dumping syndrome

Bile reflux gastritis

Postprandial hypoglycemia

Malnutrition

Answer and Explanation

The Correct Answer is A

Choice A reason: Dumping syndrome is a common complication after a gastroduodenostomy, where food moves too quickly from the stomach to the small intestine. Symptoms such as weakness, sweating, palpitations, and dizziness shortly after eating are typical indicators of this condition. This happens because the rapid passage of food causes fluid shifts in the body and a release of gut hormones that can lead to the symptoms experienced.
Choice B reason: Bile reflux gastritis involves the backflow of bile into the stomach, which can cause inflammation and discomfort. However, it does not typically present with the acute symptoms described in this scenario, such as weakness and dizziness shortly after eating. Symptoms of bile reflux gastritis usually include chronic pain, nausea, and vomiting.
Choice C reason: Postprandial hypoglycemia occurs when blood sugar levels drop significantly after eating. While it can cause symptoms like dizziness and weakness, it typically occurs a few hours after a meal, not 15 minutes post-consumption. The timing of the symptoms described aligns more with dumping syndrome.
Choice D reason: Malnutrition refers to the lack of proper nutrition caused by not having enough food or not eating the right things. It does not typically present with acute symptoms like those described in the question. Chronic symptoms of malnutrition include weight loss, fatigue, and weakness over a longer period.

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Correct Answer is A

Explanation

Choice A reason: Cheddar cheese is high in fat, which can trigger pancreatitis flare-ups. People with pancreatitis are generally advised to follow a low-fat diet to avoid exacerbating their condition. Consuming high-fat foods like cheddar cheese can stimulate the pancreas to produce more digestive enzymes, leading to increased inflammation and pain.
Choice B reason: Vegetable soup, especially if it is broth-based and low in fat, is generally safe for individuals with pancreatitis. It provides essential nutrients without putting too much strain on the pancreas. However, it is essential to ensure that the soup does not contain any high-fat ingredients, such as cream or butter, which can aggravate the condition.
Choice C reason: Baked fish is typically a good choice for individuals with pancreatitis because it is low in fat and high in protein. The preparation method also matters; baking is a healthy cooking method that does not add extra fat to the dish. As long as the fish is not fried or cooked with high-fat sauces, it should be safe to consume.
Choice D reason: Noodles, particularly those made from refined flour, are generally low in fat and can be included in a pancreatitis-friendly diet. However, the overall meal should be balanced and low in fat to avoid triggering symptoms. Whole grain noodles might be a better option as they provide more fiber and nutrients.

A. Dehydration B. Hypermagnesemia C. Hypocalcemia D. Hyperkalemia

Correct Answer is C

Explanation

Choice A reason: Dehydration can cause muscle cramping, but it is not the most specific indicator of acute pancreatitis. The focus in this condition is more on electrolyte imbalances and systemic effects.
Choice B reason: Hypermagnesemia, or elevated magnesium levels, can lead to muscle weakness rather than cramping. It is not a common symptom of acute pancreatitis.
Choice C reason: Hypocalcemia, or low calcium levels, is a typical sign of acute pancreatitis and can cause muscle cramping and spasms. The inflammation of the pancreas can lead to the sequestration of calcium in fatty areas, resulting in low serum calcium levels.
Choice D reason: Hyperkalemia, or elevated potassium levels, can cause muscle weakness and cardiac issues but is not specifically associated with muscle cramping in acute pancreatitis.

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The patient is having a gastroduodenostomy (Billroth I operation) for stomach cancer. Which complication is occurring when the patient reports generalized weakness, sweating, palpitations, and dizziness 15 minutes after eating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a history of pancreatitis. Which of the following food choices should the nurse instruct the client to avoid?

Correct Answer is A

Explanation

An acute pancreatitis patient who complains of muscle cramping. The nurse explains to the patient that is the typical sign and symptom of? Select best answer.

Correct Answer is C

Explanation

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