Medical Surgical Dumping syndrome #5

Question

Which is a priority nursing diagnosis for a client with numerous episodes of diarrhea from dumping syndrome the past 24 hours?

Answers

  1. Abdominal pain
    • Rationale:

      This answer is not correct because abdominal pain is not the priority nursing diagnosis. Although some abdominal cramping occurs just before and during diarrhea episodes, the priority concern during dumping syndrome is dehydration (fluid volume deficit) from diarrhea. The excessive fluid loss occurs when the food moves too quickly and causes fluid to be pulled into the small intestines, then emptied through the diarrhea.

  2. Unstable blood glucose (elevated)
    • Rationale:

      This answer is not correct because unstable blood glucose (elevated) is not an expected nursing diagnosis for a client with numerous episodes of diarrhea from dumping syndrome. Hypoglycemia is most associated with dumping syndrome. The primary concern during dumping syndrome is dehydration (fluid volume deficit) from diarrhea. The excessive fluid loss occurs when the food moves too quickly and causes fluid to be pulled into the small intestines, then emptied through the diarrhea.

  3. Fluid volume deficit
    • Rationale:

      This answer is correct because the priority concern for a client with numerous episodes of dumping syndrome is dehydration (fluid volume deficit) from diarrhea. The excessive fluid loss occurs when the food moves too quickly and causes fluid to be pulled into the small intestines, then emptied through the diarrhea.

  4. Nutrition (less than body requirement)
    • Rationale:

      This answer is not correct because nutrition less than body requirement is the priority nursing diagnosis. This diagnosis could be a concern if the client is untreated for dumping syndrome. The priority concern for a client with numerous episodes of dumping syndrome is dehydration (fluid volume deficit) from diarrhea. The excessive fluid loss occurs when the food moves too quickly and causes fluid to be pulled into the small intestines, then emptied through the diarrhea.

Overview

The nursing diagnosis most appropriate for a client with early dumping syndrome is fluid volume deficit. This is due to the excessive fluid loss that occurs when the food moves too quickly and causes fluid to be pulled into the small intestines, then emptied through the diarrhea.

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.

Test Taking Tip

Understand the pathophysiology of dumping syndrome and the priority nursing concern.

Video Rationale