NSG 321 Exam 4 (Complete And Verified Study material) (9pages) LEARNEXAMS

1. Dumping syndrome- pg.949 clinical manifestations: Answer The patient usually de-scribes feelings of generalized weakness, sweating, palpations, and dizziness. 2. Be familiar with gastrojejunostomy (Billroth II), and dumping syndrome, know what you would need to teach the patient about this. Ch. 41, p 917, 949,950: Answer Eat slowly, avoid spicy foods, rest, and digest 30 minutes after. Patients should reduce meal size accordingly, reduce fluids drank with meals, dry foods with low carbohydrate content and moderate protein and fat content are bettertolerated. Short rest periods after each meal will reduce likelihood of dumping. 3. Know the importance of knowing if your patients with liver issues are on prescriptions or over-the-counter drugs; make sure that you have an under-standing of the rationale.: Answer Over the counter drugs may cause acute liver failureand jaundice 4. Know which individuals would be at greatest risk for hepatitis B and itstransmission.: Answer Individuals who have several sex partners. 5. Be familiar with the dietary changesthat would need to occur after the post-operative period following a cholecystectomy (removal of the gallbladder).Ch.44, P 1040.: Answer a. Low fat diet that they may have to stay on for up to 4-6 weeks. 6. Be familiar with prevention teaching of hepatitis A (HAV).: Answer Wash hands be-fore, after eating, and after bowel movement. 7. Where do we see Hep A the most: Answer Children in daycare; children diagnosed withHepatitis don't share toys.