A patient on an enteral feeding suddenly complains of feeling faint and is sweating. The diastolic blood pressure has dropped 20 points. The nurse recognizes this as signs of the dumping syn-drome. What is the cause of dumping syndrome?
a. Hypertonic fluid entering the jejunum and pulling large amounts of water from the circulating volume
b. Rich enteral feeding causing bowel irrita-tion with severe cramping
c. Hypertonic solution rapidly entering the stomach causing pyloric spasm
d. Rapid drop in blood glucose as a result of the hypertonic solution pooling in the je-junum
A
Enteral tube feedings can cause dumping syndrome by pooling feeding in the jejunum, which pulls fluid from the circulating volume and causes hypotension.
You might also like to view...
A patient states: "I'm not worth anything. I have negative thoughts about myself. I want to go to sleep and never wake up." Which nursing intervention has the highest priority?
a. Self-esteem building activities b. Anxiety self-control measures c. Sleep enhancement activities d. Suicide precautions
A patient tells the nurse, "I want to have sex with you." Which nursing responses are appropriate? Select all that apply
a. "I will forget you said that." b. "Your suggestion frightens me." c. "You must keep your distance." d. "Sex is not part of our relationship." e. "We are here to work on your problems."
A patient reports, "The government has implanted a device in my head.". What outcome would the nurse identify as being appropriate for the patient to achieve within 1 week of admission?
a. Taking antipsychotic medication as prescribed without objection b. Giving coherent data to support beliefs that a device has been implanted c. Interpreting reality correctly by stating that no implantation has occurred d. Reporting feeling less anxious about having the government listening to interior thoughts
All six limb leads view the heart's electrical activity from the anterior to the posterior axis of the ______________.?
A) hexaxial view B) coronal plane C) transverse plane D) horizontal plane