Author Question: The client is resuming a diet after hemigastrectomy. To minimize complications, the nurse would tell ... (Read 14 times)

ap345 · **on:** Jul 22, 2018

The client is resuming a diet after hemigastrectomy. To minimize complications, the nurse would tell the client to avoid doing which of the following?

1. Lying down after eating
2. Drinking liquids with meals
3. Eating six small meals per day
4. Excluding concentrated sweets in the diet

Question 2

The nurse is providing instructions to the client regarding cord care. Which of the following statements, if made by the client, indicates a need for further education?

1. Alcohol may be used if prescribed to clean the cord.
2. The cord will fall off in 1 to 2 weeks.
3. I should clean the cord two or three times a day.
4. I need to fold the diaper above the cord to prevent infection.

aburgess · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2

Rationale: The client who has had a hemigastrectomy is at risk for dumping syndrome. This client should be placed on a diet that is high in protein, moderate in fat, and high in calories. The client should avoid drinking liquids with meals. Frequent small meals are encouraged, and the client should avoid concentrated sweets.

Answer to Question 2

4

Rationale: The cord should be kept clean and dry to decrease bacterial growth. The diaper should be folded below the cord to keep urine away from the cord. The cord should be cleaned two or three times a day using alcohol or other prescribed solution. Cord care is required until the cord dries up and falls off, usually between 7 and 14 days postpartum.