An older client has gastric cancer and is scheduled to have a ...

[09madisonrousseau09]

An older client has gastric cancer and is scheduled to have a partial gastrectomy. The family does not want the client told about her diagnosis. What action by the nurse is best?
 
  a. Ask the family why they feel this way.
  b. Assess family concerns and fears.
  c. Refuse to go along with the family's wishes.
  d. Tell the family that such secrets cannot be kept.

Question 2

A client has dumping syndrome after a partial gastrectomy. Which action by the nurse would be most helpful?
 
  a. Arrange a dietary consult.
  b. Increase fluid intake.
  c. Limit the client's foods.
  d. Make the client NPO.

[wergv]

Answer to Question 1

ANS: B
The nurse should use open-ended questions and statements to fully assess the family's concerns and fears. Asking why questions often puts people on the defensive and is considered a barrier to therapeutic communication. Refusing to follow the family's wishes or keep their confidence will not help move this family from their position and will set up an adversarial relationship.

Answer to Question 2

ANS: A
The client with dumping syndrome after a gastrectomy has multiple dietary needs. A referral to the registered dietitian will be extremely helpful. Food and fluid intake is complicated and needs planning. The client should not be NPO.