A patient has undergone subtotal gastrectomy and is being prepared for discharge. Which reasons should the nurse consider for the care?

The patient needs to understand dietary modifications.

The patient should know about medication management.

The patient needs to be aware of signs of complications.

The patient should understand the importance of follow-up appointments.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale
After a subtotal gastrectomy, the patient’s diet will need to be modified. They will need to eat pureed foods and liquids for 3 weeks after the surgery. They may also need to use liquid nutritional supplements recommended by a healthcare provider to make sure they get enough calories.
Choice B rationale
Medication management is crucial after a subtotal gastrectomy. The patient will need to take their medicines in crushed or liquid form for 3 weeks after surgery.
Choice C rationale
Awareness of signs of complications is important for the patient after a subtotal gastrectomy. Complications can include infection, redness, swelling inside the belly (peritonitis) that can occur if the appendix bursts during surgery, blocked bowels, and injury to nearby organs.
Choice D rationale
Understanding the importance of follow-up appointments is crucial for the patient after a subtotal gastrectomy. Regular follow-ups allow the healthcare provider to monitor the patient’s recovery and address any potential issues promptly.

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Correct Answer is A

Explanation

Choice A rationale

Omeprazole is a proton pump inhibitor that reduces gastric acid secretion. It is used to treat conditions such as duodenal and gastric ulcers, prolonged dyspepsia, gastroesophageal reflux disease, and erosive esophagitis. Therefore, relief from acid indigestion would indicate that the medication is effective.
Choice B rationale
While headaches can be a side effect of omeprazole, relief from headaches is not a primary indicator of the medication’s effectiveness in treating conditions related to gastric acid secretion.
Choice C rationale
Diarrhea can be a side effect of omeprazole, but relief from diarrhea does not directly indicate the effectiveness of omeprazole in reducing gastric acid secretion.
Choice D rationale
Nausea can be a symptom of the conditions that omeprazole treats, but relief from nausea alone does not directly indicate the effectiveness of omeprazole in reducing gastric acid secretion.

A. The sclera B. Nail beds C. Periumbilical area D. Webbed areas of the fingers .

Correct Answer is A

Explanation

Choice A rationale
Jaundice, a common symptom of cholecystitis, is a yellow discoloration of the skin and whites of the eyes (sclera) caused by an excess of bilirubin in the blood. The sclera is often the first place where jaundice is noticeable because the high amount of elastin in the sclera binds to bilirubin, causing a yellowish discoloration.
Choice B rationale
While nail beds can sometimes show signs of certain health issues, they are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice C rationale
The periumbilical area (around the belly button) is not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.
Choice D rationale

The webbed areas of the fingers are not typically used to monitor for the presence of jaundice. Jaundice primarily causes yellowing of the skin and the whites of the eyes.

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A patient has undergone subtotal gastrectomy and is being prepared for discharge. Which reasons should the nurse consider for the care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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