What complications should the nurse look for in someone with gastric surgery?
Dumping syndrome
Hypothyroidism
Pulmonary embolism
Urinary tract infection
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it’s important to prepare for a barium swallow test, maintaining a clear liquid diet 24 hours before the test is not typically required.
Choice B rationale
Drinking plenty of fluids after the test is indeed a correct instruction. The barium used in the test can cause constipation or impacted stool if it does not pass out of the body. Drinking ample fluids helps flush the contrast from the gastrointestinal system.
Choice C rationale
While it’s true that the stool may be discolored after a barium swallow test, it’s more likely to be lighter or white, not black.
Choice D rationale
The barium swallow test does not involve the injection of any dye that would cause a warm feeling. This sensation is more commonly associated with the injection of contrast dye in other types of imaging tests, not a barium swallow.
Correct Answer is A
Explanation
Choice A rationale
Calling for pain medication before the previous dose wears off is an effective strategy for managing postoperative pain. This approach helps maintain a consistent level of pain control, which can enhance comfort and facilitate recovery.
Choice B rationale
Waiting for the nurse to evaluate the pain before asking for more medication can result in periods of uncontrolled pain, which can hinder recovery. Pain should be managed proactively, not reactively.
Choice C rationale
Calling for pain medication as the pain becomes intolerable is not an effective pain management strategy. Pain should be controlled before it reaches this level.
Choice D rationale
Asking for less medication to avoid addiction is not a recommended approach to pain management. While it’s important to use opioids judiciously, under-treating pain can hinder recovery and lead to unnecessary suffering. PancreatitisPancreatitis Explore
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