A client with stomach cancer is beginning oral feedings after ...

[anjilletteb]

A client with stomach cancer is beginning oral feedings after having a gastrectomy. The nurse should monitor the client for:
 
  1. bradycardia.
  2. pallor.
  3. appetite.
  4. orthostatic hypotension.

Question 2

A client with peptic ulcer disease (PUD) becomes dizzy and begins to vomit blood. The initial action by the nurse should be to:
 
  1. call the physician.
  2. notify the nursing supervisor.
  3. place the client in Fowler's position and ensure a patent airway.
  4. place a nasogastric (NG) tube in the client.

[kaylee05]

Answer to Question 1

Answer: 4

1. The nurse should monitor the client for dumping syndrome, which includes tachycardia.
2. The client might experience flushing as a sign of dumping syndrome.
3. Appetite is unrelated to dumping syndrome, which begins 5-30 minutes after eating.
4. The client might be systemically affected by experiencing orthostatic hypotension.

Answer to Question 2

Answer: 3

1. The client's airway must be protected first because of the risk of aspirating blood.
2. Once the client's airway is stabilized, the nurse notifies the physician.
3. The nursing supervisor or charge nurse is notified once the airway is stable.
4. The physician will order placement of an NG tube.

[anjilletteb]

Excellent

[epscape]

TYSM