Medical Surgical Dumping syndrome #4

Question

Which symptom is priority by the nurse to monitor a client for who is experiencing sudden diarrhea within 1-2 hours of eating?

Answers

  1. Nausea
    • Rationale:

      This answer is not correct because nausea after experiencing diarrhea associated with dumping syndrome is not a priority over symptoms of hypoglycemia. The nurse should monitor for symptoms of hypoglycemia in this client, which includes headache, irritability, weakness, anxiousness, and shakiness. These symptoms can quickly result in lethargy, coma, and death.

  2. Epigastric pain
    • Rationale:

      This answer is not correct because epigastric pain is most associated with peptic ulcers. The nurse should monitor for symptoms of hypoglycemia in this client, which includes headache, irritability, weakness, anxiousness, and shakiness. These symptoms can quickly result in lethargy, coma, and death.

  3. Shakiness
    • Rationale:

      This answer is correct because the nurse should monitor for symptoms of hypoglycemia in this client, which includes headache, irritability, weakness, anxiousness, and shakiness. These symptoms can quickly result in lethargy, coma, and death.

  4. Tingling fingers
    • Rationale:

      This answer is not correct because tingling of the fingers and toes is a symptom associated with pernicious anemia. The nurse should monitor for symptoms of hypoglycemia in this client, which includes headache, irritability, weakness, anxiousness, and shakiness. These symptoms can quickly result in lethargy, coma, and death.

Overview

The nurse should monitor for symptoms of hypoglycemia in this client, which includes headache, irritability, weakness, anxiousness, and shakiness. These symptoms can quickly result in lethargy, coma, and death.

Explanation

Learning Outcomes

Dumping syndrome is rapid gastric emptying. Dumping syndrome occurs as food moves too fast from the stomach to the duodenum of the small intestines, causing symptoms such as nausea, lightheadedness, and diarrhea. The primary concern is dehydration from diarrhea. These symptoms generally occur within about 30 minutes after eating a meal (early dumping syndrome) but can occur as late as 1 to 3 hours after eating (late dumping syndrome). Early dumping syndrome is most commonly a result of surgery on the esophagus or stomach. Late dumping syndrome is commonly caused by excessive insulin release, which can result in hypoglycemia. The nurse should monitor for symptoms of hypoglycemia in this client, which includes headache, irritability, weakness, anxiousness, and shakiness. These symptoms can quickly result in lethargy, coma, and death. The client should be taught to eat six small meals, instead of larger meals to reduce the incidence of dumping syndrome. It is also recommended to have a small snack after the diarrhea occurs to reduce the hypoglycemia that can occur.

Test Taking Tip

It is imperative to understand symptoms associated with hypoglycemia and late dumping syndrome to pick the correct answers.

Video Rationale