What manifestation is not present in dumping syndrome following a gastrectomy?
Borborygmi sounds
Nausea and vomiting
Dizziness
Hypertension
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Total bilirubin levels are primarily associated with liver function and hemolysis. While malnutrition can impact liver function, total bilirubin is not a direct indicator of nutritional status or malnutrition.
B. Creatine kinase (CK) is an enzyme found in the heart, brain, and skeletal muscles. Its levels are typically associated with muscle damage or myocardial infarction. While malnutrition can impact muscle mass, CK is not specifically altered due to malnutrition alone.
C. Troponin is a protein released when the heart muscle is damaged. It is primarily used as a biomarker for myocardial injury. Malnutrition does not directly affect troponin levels, so this is not a relevant finding in the context of malnutrition.
D. Albumin is a protein produced by the liver and is a key indicator of nutritional status. Low albumin levels can indicate malnutrition, particularly protein deficiency. In cases of anorexia and malnutrition, albumin levels are often decreased due to inadequate protein intake and poor nutritional status.
Correct Answer is ["0.6"]
Explanation
The infant weighs 10 pounds, which is equivalent to about 4.53692 kilograms (10 x 0.453592). The prescribed dose is 2 mg/kg, so the total dose per administration is 9.07384 mg (2 mg/kg x 4.53692 kg).
Since the elixir's strength is 15 mg/mL, we divide the total dose by the strength of the elixir to find out how many mL to administer: 9.07384 mg ÷ 15 mg/mL = 0.60492267 mL. Rounding to the nearest tenth, the nurse should administer 0.6 mL of ranitidine per dose to the infant.
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