Answer to Question 1
ANS: D
An INR as high as 4.2 poses a serious risk of bleeding during the operation and should be reported. The albumin is low and is an expected finding. The hematocrit and hemoglobin are also low, but this is expected in gastric cancer.
Answer to Question 2
ANS: B
Clients with NG tubes need frequent oral care both for comfort and to prevent infection. Lavaging the tube is done by the nurse. Re-positioning the tube, if needed, is also done by the nurse. The UAP can take vital signs, but this is not a comfort measure.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
The reminder card should be completed and handed to the patient after the appointment is scheduled.
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