Last year a patient had a subtotal gastrectomy after being ...

[ap345]

Last year a patient had a subtotal gastrectomy after being diagnosed with stomach cancer. Now the patient says, I'd rather take vitamin pills than shots. Which information should the nurse provide to this patient?
 
  a. Most patients have difficulty remembering to take the vitamins. Deficits can precipitate a recurrence of the cancer.
  b. Injections are needed, because the loss of stomach tissue reduces absorption of vitamin B12.
  c. Injections will eventually be replaced with pills, but it is too soon after the gastrectomy.
  d. Injections prevent development of NPH and delirium.

Question 2

An initial step in the nursepatient relationship for a patient diagnosed with anorexia nervosa should be
 
  a. formulate the nursepatient contract.
  b. exclude the family from treatment.
  c. recommend a therapeutic group.
  d. use intense confrontation.

[sierrahalpin]

Answer to Question 1

B
Vitamin B12 is absorbed in the stomach, aided by intrinsic factor. Deficiency leads to dementia. Regular supplementation of vitamin B12 prevents the deficiency and development of cognitive symptoms. The injections will be needed for life.

Answer to Question 2

A
Trust is the foundation to the nurse's effectiveness. A contract is formulated early in therapy to give the patient the opportunity to participate in treatment. This increases the patient's sense of control. By establishing contractual behavioral limits, manipulation and power struggles can be minimized. Recommending a therapeutic group and using confrontation to attack denial are later interventions. Family members are encouraged to take part actively in the treatment of the patient.

[ap345]

TYSM

[blakcmamba]

Excellent