What complications should the nurse look for in someone with gastric surgery?

Dumping syndrome

Hypothyroidism

Pulmonary embolism

Urinary tract infection

Answer and Explanation

The Correct Answer is A

Choice A rationale
Dumping syndrome is a common complication after gastric surgery. It is a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested. It’s called "dumping" because the contents of the stomach are "dumped" into the small intestine too quickly.
Choice B rationale
Hypothyroidism is not typically a complication of gastric surgery. Hypothyroidism is a condition in which the thyroid gland does not produce enough thyroid hormones. It is not directly related to gastric surgery.

Choice C rationale
While pulmonary embolism is a potential complication of any surgery due to the risk of blood clots, it is not specific to gastric surgery.
Choice D rationale
Urinary tract infections are not typically a complication of gastric surgery. They occur when bacteria enter the urinary tract, and are not directly related to gastric surgery.

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Correct Answer is B

Explanation

Choice A rationale
Eating a bedtime snack that contains a milk product is not typically recommended for patients with dumping syndrome. Dairy products can be high in fat and sugar, which can exacerbate symptoms.
Choice B rationale
Increasing protein in the diet is often recommended for patients with dumping syndrome. Protein helps to slow the movement of food through the stomach, which can help to prevent the rapid emptying that leads to symptoms.
Choice C rationale
Drinking at least one glass of water with each meal is not typically recommended for patients with dumping syndrome. Drinking fluids during meals can increase the speed at which food leaves the stomach, potentially worsening symptoms.
Choice D rationale
Eating three moderate-sized meals a day is not typically recommended for patients with dumping syndrome. Instead, patients are often advised to eat several small meals throughout the day to prevent overloading the stomach.

A. Elevating the patient’s legs on two pillows B. Positioning the patient on the right side C. Keeping the patient in a high Fowler’s position D. Ambulating the patient twice each shift

Correct Answer is B

Explanation

Choice A rationale
Elevating the patient’s legs on two pillows is not typically a necessary action after a liver biopsy. This position does not directly aid in the recovery or prevention of complications related to a liver biopsy.
Choice B rationale
Positioning the patient on the right side after a liver biopsy is a common nursing intervention. This position applies pressure to the liver biopsy site, which can help minimize bleeding and facilitate clot formation at the biopsy site.
Choice C rationale
Keeping the patient in a high Fowler’s position is not typically recommended after a liver biopsy. This position does not provide direct benefits in terms of recovery or prevention of complications from a liver biopsy.
Choice D rationale

Ambulating the patient twice each shift is not typically recommended immediately after a liver biopsy. Rest is usually advised to allow the liver tissue to heal and to minimize the risk of bleeding.

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What complications should the nurse look for in someone with gastric surgery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a patient who has dumping syndrome following gastric surgery. Which of the following information should the nurse reinforce in the teaching?

Correct Answer is B

Explanation

Which nursing action is most appropriate after a liver biopsy is performed on a patient with cirrhosis?

Correct Answer is B

Explanation

A nurse is providing dietary advice to a patient who has GERD. Which of the following food choices by the patient would indicate an understanding of the advice?

The nurse instructs a client prescribed omeprazole for peptic ulcer disease about the use of the medication. Which patient statements indicate understanding of the instructions? (Select all that apply.)

The nurse is educating a patient about bariatric surgery and dumping syndrome. Which statement indicates that the patient comprehends dumping syndrome?

Which of the following statements by the patient would indicate a correct understanding of peptic ulcer disease?

A nurse is contributing to the plan of care for a client who has acute pancreatitis. Which of the following interventions should the nurse include?

Gastrointestinal illnesses cause symptoms of anorexia, vomiting, and diarrhea. Which lab value should the nurse monitor related to volume depletion?

A nurse is collecting data from a client in the health clinic who is reporting epigastric pain. Which of the following statements made by the client should the nurse identify as being consistent with peptic ulcer disease?

The nurse is caring for a client that takes aspirin three times per day. Which of the following is a potential adverse effect of taking daily aspirin?