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 D

Explanation

Choice A reason: Urinary incontinence is the involuntary leakage of urine and is not specifically associated with the described urine characteristics of dark amber, cloudiness, and unpleasant odor. These symptoms indicate an infection rather than a condition involving control over urination.
Choice B reason: Urinary retention involves the inability to completely empty the bladder, leading to retained urine. It does not typically manifest with dark amber, cloudy urine, and unpleasant odor, which are more indicative of an infection.
Choice C reason: Urinary frequency refers to the need to urinate more often than usual and does not specifically align with the described urine characteristics. The focus in this case is on the urine's appearance and smell, pointing more towards an infection.
Choice D reason: Urinary tract infection (UTI) is the most likely condition associated with dark amber, cloudy urine, and unpleasant odor. UTIs result from bacterial infection, leading to inflammation and the presence of pus or blood, which causes the described symptoms. Prompt diagnosis and treatment are necessary to prevent complications.

A. You will wear an external collection bag to drain your urine. B. You will have an internal pouch to store your urine. C. You will not be able to control your urination. D. You will have a stoma that is located in your abdomen.

Correct Answer is B

Explanation

Choice A reason: Wearing an external collection bag is typically associated with other types of urinary diversions, such as an ileal conduit, not a neobladder.
Choice B reason: A neobladder involves the creation of an internal pouch from a segment of the intestine that stores urine and allows for more natural urination, similar to the function of a natural bladder. This option provides the ability to void through the urethra.
Choice C reason: While some initial incontinence can occur after neobladder surgery, the goal is to eventually have voluntary control over urination with time and practice.
Choice D reason: Having a stoma located in the abdomen is characteristic of an ileal conduit or urostomy, not a neobladder. The neobladder is designed to avoid the need for an external stoma.

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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 caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?

Correct Answer is D

Explanation

A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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A nurse is teaching a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the client's diet?

The nurse suspects that a patient who underwent esophageal surgery has a misplaced jejunostomy feeding tube. Which action would the nurse take?

A nurse is teaching a client who is preoperative for a neobladder urinary diversion. Which of the following statements should the nurse make?

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