A patient who is recovering from surgery for stomach cancer a ...

[P68T]

A patient who is recovering from surgery for stomach cancer a month ago continues to experience dumping syndrome. What should the nurse instruct this patient?
 
  1. It's usually self-limiting and will resolve within 6 to 12 months.
  2. It will be a problem for the rest of your life.
  3. There's no treatment.
  4. Eat only a clear-liquid diet.

Question 2

A patient who has had gastric surgery for cancer is denying the diagnosis of cancer. What should the nurse do?
 
  1. The nurse should not argue with the patient but continue to provide emotional support as needed.
  2. The nurse should remind the patient of the diagnosis.
  3. The nurse should ask a clinical psychologist to talk with the patient.
  4. The nurse should explain how many people with cancer live long, productive lives.

[bhavsar]

Answer to Question 1

Correct Answer: 1
Dumping syndrome is typically self-limiting and lasts 6 to 12 months after surgery; however, a small percentage of people continue to experience long-term symptoms. A small percentage of postoperative patients may continue to have dumping syndrome. Treatment options for dumping syndrome include dietary modifications. A clear liquid diet is not recommended as a treatment for postoperative dumping syndrome.

Answer to Question 2

Correct Answer: 1
A patient with the diagnosis of cancer may be in denial. The nurse should not negate denial if present because it is a coping mechanism that protects the patient from hopelessness. There is no real need to remind the patient of the diagnosis. The patient is acting in a manner that can often be anticipated. At this point, there is no need for a clinical psychologist to intervene. Making a referral to a clinical psychologist is beyond the duties of the nurse. The patient is not emotionally prepared to discuss cancer survival at this time.

[P68T]

Excellent

[Viet Thy]

TYSM