« previous next »

Author Question: An older client has gastric cancer and is scheduled to have a partial gastrectomy. The family does ... (Read 108 times)

09madisonrousseau09

  • Hero Member
  • *****
  • Posts: 559
on: Jun 25, 2018
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

  • Sr. Member
  • ****
  • Posts: 365
Reply #1 on: Jun 25, 2018
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Urine turns bright yellow if larger than normal amounts of certain substances are consumed; one of these substances is asparagus.

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Did you know?

The senior population grows every year. Seniors older than 65 years of age now comprise more than 13% of the total population. However, women outlive men. In the 85-and-over age group, there are only 45 men to every 100 women.

Client on IV patient-controlled analgesia (PCA). Client on IV patient-controlled analgesia (PCA).
Weber test: Place the base of the tuning fork on top of the client’s head. Weber test: Place the base of the tuning fork on top of the client’s head.
family caregiving family caregiving
Risk Factors for Cancer Risk Factors for Cancer
Central Nervous System Stimulants That Are Scheduled Drugs Central Nervous System Stimulants That Are Scheduled Drugs
The family described in Example Case 5 The family described in Example Case 5
Video: Mechanisms of capillary exchange

For a complete list of videos, visit our video library