The nurse is providing care to a patient 3 days after a Billroth I procedure. Which of the following would cause the highest concern?
a. Pulse 58 beats per minute
b. Incisional pain score 4 on a 1 to 10 scale
c. Patient becomes tearful while viewing the incision
d. Reports of abdominal cramping shortly after eating
ANS: D
Dumping syndrome is a complication of Billroth I procedure and occurs 5 to 30 minutes after eating. Symptoms include dizziness, tachycardia, fainting, sweating, nausea, diarrhea, a feeling of fullness, and abdominal cramping. Pain and the emotional reaction to the incision are psychosocial concerns and are not the highest priority at this time.
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