If a patient has dumping syndrome after surgery to remove a tumor, they have probably had a
a. vagotomy.
b. gastrectomy.
c. pancreatectomy.
d. small bowel resection.
B
Dumping syndrome often occurs after a full or partial gastrectomy. Vagotomy may cause gastric stasis, diarrhea, and fat malabsorption. Pancreatectomy may cause type 1 diabetes and malab-sorption of many nutrients. Small bowel resection may cause malabsorption of multiple nutrients, depending on the site and extent of resection.
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While being assessed, a patient tells the nurse that she has many stresses in her life. Of these stresses, which of the following would be considered an external stressor?
1. Rigid rules on the job 2. The need to please everyone 3. Workaholic 4. Use of caffeine
Chemotherapy can be used to treat cancer. Which is correct?
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A child was placed in a foster home after being removed from abusive parents. The child is apprehensive and overreacts to environmental stimuli. The foster parents ask the nurse how to help the child. Which interventions should the nurse suggest?
Select all that apply. a. Use a calm manner and low voice. b. Maintain simplicity in the environment. c. Avoid repetition in what is said to the child. d. Minimize opportunities for exercise and play. e. Explain and reinforce reality to avoid distortions.