A client has had a gastrectomy. The nurse will include which of ...

[vHAUNG6011]

A client has had a gastrectomy. The nurse will include which of the following in discharge teaching?
 
  1. There is a risk for generalized vitamin deficiency so it is important to take a daily vitamin supplement in the morning to promote absorption
   2. The risk of dehydration can be reduced with vitamin C supplements along with plenty of water
   3. The risk of skin changes can be reduced with vitamin E supplements to prevent damage from free radicals
   4. There is risk of pernicious anemia so regular vitamin B12 injections will be needed

Question 2

Clients who receive radiation to the lower neck or midchest are at risk for several complications. What complication is common?
 
  A) Mouth blindness C) Dumping syndrome
  B) Esophagitis with dysphagia D) Chronic blood loss

[lauravaras]

Answer to Question 1

4
Rationale: The client who has had a gastrectomy is at risk for pernicious anemia, a condition in which there is a deficiency of the intrinsic factor responsible for absorption of vitamin B12. This client will need regular injections of vitamin B12 for as long as he or she lives. A vitamin supplement will not be adequate to meet the need for vitamin B12. Vitamins C and E can easily be obtained from the diet. Dehydration and skin changes are not associated with clients who have had a gastrectomy.

Answer to Question 2

B
Feedback:
Potential complications related to radiation therapy of the lower neck and midchest include esophagitis with dysphagia in the acute stages and fibrosis; esophageal strictures and dysphagia as a delayed reaction.