A client presents to the ED with complaints of sweating, heart palpitations, vertigo, and the urge to lay down shortly after eating. The nurse anticipates which diagnosis for this client?

  1. appendicitis
  2. cholecystitis
  3. ulcerative colitis
  4. dumping syndrome
Number 4 is correct.
Rationale: Dumping syndrome signs and symptoms include sweating, heart palpitations, vertigo, and the urge to lay down shortly after eating. Onset of symptoms occurs within 5 to 30 minutes after eating. Signs and symptoms of appendicitis include rebound tenderness and abdominal rigidity, pain in the lower right quadrant, nausea and vomiting, and low-grade fever. Cholecystitis manifests with pain to the right upper quadrant that radiates to the right scapula, Murphy’s sign, belching, indigestion, and nausea and vomiting. Signs and symptoms of ulcerative colitis include abdominal cramping and tenderness, severe diarrhea that may present with mucus and blood, weight loss, anorexia, and malaise.