A client is recovering from a gastrojejunostomy for treatment of ...

[jlmhmf]

A client is recovering from a gastrojejunostomy for treatment of duodenal ulcer. About 20 minutes after lunch, the client develops dizziness, weakness, palpitations, and the urge to defecate.
 
  To avoid recurrence of these symptoms, what should the nurse teach the client?
 
  1. Decrease fluid intake with meals and lie down after meals.
  2. Drink fruit juice after each meal.
  3. Increase fluid intake with meals and lie down 30 minutes after meals.
  4. Eat a high-carbohydrate, low-fat diet in six small feedings a day.

Question 2

A client undergoes a gastroduodenostomy for treatment of a perforated ulcer. Postoperatively, the nurse cannot detect bowel sounds, and there is 200 mL of bright red blood in theNG drainage container. What is the most appropriate nursing action?
 
  1. Notify the physician.
  2. Irrigate the NG tube.
  3. Apply an abdominal binder.
  4. Assess the client's pain level.

[janeli]

Answer to Question 1

Answer: 1

1. The symptoms indicate dumping syndrome, which is minimized by limiting carbohydrate intake, eating small meals, drinking liquids separate from solid foods, and assuming a recumbent or semi-recumbent position after meals.
2. The symptoms indicate dumping syndrome, which is minimized by limiting carbohydrate intake, eating small meals, drinking liquids separate from solid foods, and assuming a recumbent or semi-recumbent position after meals.
3. The symptoms indicate dumping syndrome, which is minimized by limiting carbohydrate intake, eating small meals, drinking liquids separate from solid foods, and assuming a recumbent or semi-recumbent position after meals.
4. The symptoms indicate dumping syndrome, which is minimized by limiting carbohydrate intake, eating small meals, drinking liquids separate from solid foods, and assuming a recumbent or semi-recumbent position after meals.

Answer to Question 2

Answer: 1

1. The findings indicate a rupture or bleed of the suture line, necessitating immediate intervention.
2. Irrigating the NG could cause further damage.
3. Applying a binder could cause further damage.
4. Assessment of pain level would be a subsequent intervention after notifying the physician.

[jlmhmf]

TYSM

[debra928]

Gracias!