The nurse anticipates that the patient who has had a subtotal ...

[mwit1967]

The nurse anticipates that the patient who has had a subtotal gastrectomy will need supplemental:
 
  a. protein due to the loss of some of the digestive processes.
  b. vitamin B12 due to the loss of the intrinsic factor.
  c. bulk to prevent constipation.
  d. vitamin A due to the loss of the gastric lining.

Question 2

A patient who is being evaluated for episodes of hematemesis and dyspepsia tells the nurse that pain occurs when he eats, but pain does not waken him. The nurse recognizes a diagnostic sign of which condition?
 
  a. Duodenal ulcer
  b. Gastritis
  c. Achalasia
  d. Peptic ulcer

[nixon_s]

Answer to Question 1

ANS: B
It is recommended that all patients with a gastrectomy have a blood serum vitamin B12 level measured every 1 to 2 years. Decreased absorption of vitamin B12 may cause pernicious anemia.

Answer to Question 2

ANS: D
A significant subjective data assessment for a peptic ulcer is the patient report that pain is associated with eating, but not with an empty stomach, because there would be pain with a duodenal ulcer.