A patient who underwent gastric banding 3 days ago is having her diet progressed on a daily basis. Following her latest meal, the patient complains of dizziness and palpitations
Inspection reveals that the patient is diaphoretic. What is the nurse's best action?
A) Insert a nasogastric tube promptly.
B) Reposition the patient supine.
C) Monitor the patient closely for further signs of dumping syndrome.
D) Assess the patient for signs and symptoms of aspiration.
Ans: C
Feedback:
The patient's symptoms are characteristic of dumping syndrome, which results in a sensation of fullness, weakness, faintness, dizziness, palpitations, diaphoresis, cramping pains, and diarrhea. Aspiration is a less likely cause for the patient's symptoms. Supine positioning will likely exacerbate the symptoms and insertion of an NG tube is contraindicated due to the nature of the patient's surgery.
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