The nurse is providing care to a patient 3 days after a Billroth I procedure. About which observation should the nurse be most concerned?
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. A. A pulse of 58 beats per minute could be within the patient's normal pulse range. B. C. Pain and the emotional reaction to the incision are psychosocial concerns and are not the highest priority at this time.
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