Which condition is associated with dumping syndrome ?
Gastroesophageal reflux disease (GERD)
After gastric resection or peptic ulcer surgery
Dumping syndrome is a disorder that can ofcur after gastric resection procedures .It occurs in approximately one -half to one -third of patients who have undergone peptic ulcer surgery .It is a rapid gastric emptying ,causing distention of the duodenum or jejunum ,and is produced by a bolus of hypertonic food .Dumping syndrome is not associated with acute gastritis .Clinical manifestations of this disorder include fever ,epigastric pain ,nausea ,vomiting ,headache ,coating of the tongue ,and loss of appetite .Dumping syndrome is not associated with GERD .Clinical manifestations of this disorder primarily include heartburn ,although in severe cases ,it may produce dysphagia or odynophagia .Dumping syndrome is not associated with gastric carcinoma .This patient may be asymptomatic in the early stages ;in later stages ,the patient may develop pallor ,lethargy ,and weight loss .
A patient comes to the clinic reporting intestinal cramping ,diarrhea ,and bloating after ingesting foods ,such as pasta and pizza .However ,meals consisting of meat ,vegetables ,and a potato do not cause these symptoms .The nurse anticipates the patient may be diagnosed with which disease ?
Irritable bowel syndrome
Inflammatory bowel disease
Celiac disease is characterized by intestinal disturbances caused by the ingestion of gluten .The patient would notice a difference in symptoms betweel which gluten is ingested ( pasta,pizza ),and when it is not ( meat,vegetables ,potato ). Ulcerative colitis ,irritable bowel syndrome ,and inflammatory bowel disease are not dependent on the ingestion of gluten .
Which instruction is important to give to a patient after an upper gastrointestinal ( GI)study ?
" Increase your fluid intake ."
" Avoid smoking for 3 days ."
" Avoid food for some time ."
" Take the prescribed antacids ."
The upper study involves a series of radio graphs of the lower esophagus ,stomach ,and duodenum ,using barium sulfate as the contrast medium .Therefore ,the patient needs to increase fluid intake after the test to expel the barium and prevent constipation .Smoking is avoided in order to improve overall health and is not associated with with tte test .Food is avoided for some time after endoscopy ,until the gag reflex returns .There is no need need need to avoid food after an upper Gl study .There are no side effects ,such as nausea ,vomiting ,or heartburn ,after the upper study ,and therefore ,antacids are not prescribed .
Which accessory organs aid in the digestive process ?Select all that apply .
Accessory organs aid in digestion but are not a part of the digestive tract .For instance ,the liver produces bile that is necessary for the emulsification of fats .In addition ,the liver has many other functions ,such as management of blood coagulation ;metabolization of proteins ,fats ,and carbohydrates ;and storage of glycogen for later use .The pancreas aids in the digestion of proteins ,fats ,and carbohydrates .The pancreas contains sodium bicarbonate ,which neutralizes hydrochloric acid in the gastric juices that enter the small intestine from the stomach .The gallbladder stores and ejects bile into the duodenum for the digestion of fats .The salivary glands produce saliva ,which helps dissolve food and begins the chemical process of digestion .The large intestine is an important organ of the digestive system that completes the absorption of water ,manufactures vitamins ,forms feces ,and expels feces .
7th EditionGary A. Thibodeau, Kevin T. Patton
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