« previous next »

Author Question: A client is scheduled for a total gastrectomy for gastric cancer. What preoperative laboratory ... (Read 79 times)

tfester

  • Hero Member
  • *****
  • Posts: 534
on: Jun 25, 2018
A client is scheduled for a total gastrectomy for gastric cancer. What preoperative laboratory result should the nurse report to the surgeon immediately?
 
  a. Albumin: 2.1 g/dL
  b. Hematocrit: 28
  c. Hemoglobin: 8.1 mg/dL
  d. International normalized ratio (INR): 4.2

Question 2

A client had an upper gastrointestinal hemorrhage and now has a nasogastric (NG) tube. What comfort measure may the nurse delegate to the unlicensed assistive personnel (UAP)?
 
  a. Lavaging the tube with ice water
  b. Performing frequent oral care
  c. Re-positioning the tube every 4 hours
  d. Taking and recording vital signs


batool

  • Sr. Member
  • ****
  • Posts: 320
Reply #1 on: Jun 25, 2018
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

Many supplement containers do not even contain what their labels say. There are many documented reports of products containing much less, or more, that what is listed on their labels. They may also contain undisclosed prescription drugs and even contaminants.

Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

Did you know?

Patients should never assume they are being given the appropriate drugs. They should make sure they know which drugs are being prescribed, and always double-check that the drugs received match the prescription.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Prostate cancer Prostate cancer
skin cancer skin cancer
Laboratory mice demonstrate that genetic differences can have profound effects on the propensity to Laboratory mice demonstrate that genetic differences can have profound effects on the propensity to
Using small, circular strokes, exfoliate the client’s neck and back. Using small, circular strokes, exfoliate the client’s neck and back.
Some Heritable Predispositions to Cancer Some Heritable Predispositions to Cancer
A multistep model for colon cancer. The first mutation, in the APC gene, leads to the formation of p A multistep model for colon cancer. The first mutation, in the APC gene, leads to the formation of p
Video: Membrane transport proteins - pores, gated channels and pumps

For a complete list of videos, visit our video library