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    Hesi Med-surg proctored exam (MCPHS University)

    Two weeks following a Billroth II (gastrojejunostomy), a client develops nausea, diarrhea, and diaphoresis after every meal. When the nurse develops a teaching plan for this client, which expected outcome statement is the most relevant?

    Explanation & Rationale

    Rationale: A. Client describes a schedule for antacid use with other prescribed medications: While antacids may be part of postoperative care, they do not directly address the symptoms of nausea, diarrhea, and diaphoresis that occur after meals following a Billroth II procedure. B. Client agrees to participate in a variety of stress reduction techniques: Stress management is beneficial for overall health, but it does not specifically target postprandial symptoms related to dumping syndrome. C. Client selects a pattern of small meals alternating with fluid intake: This outcome directly addresses the management of dumping syndrome, a common complication after Billroth II surgery. Small, frequent meals and separating solids from liquids slow gastric emptying and help prevent postprandial hypotension, nausea, and diarrhea. D. Client expresses a willingness to reduce nicotine intake: Smoking cessation is important for general healing and gastrointestinal health, but it does not specifically mitigate the acute postprandial symptoms associated with dumping syndrome.

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