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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Absence of bowel sounds can be a normal finding post-operatively and is not necessarily a cause for concern.
Choice B rationale
A small amount of bloody drainage on the dressing is not uncommon after surgery and is not typically a cause for concern.
Choice C rationale
A rigid abdomen on palpation is a concerning finding after an appendectomy. It could indicate peritonitis, a serious infection of the abdominal cavity that can occur if the appendix burst before or during surgery.
Choice D rationale
Pain at the operative site is expected after an appendectomy. However, severe or increasing pain could indicate a complication and should be evaluated by a healthcare provider.
Correct Answer is A
Explanation
Choice A rationale
Alcohol can irritate the stomach lining and exacerbate the symptoms of gastritis. Therefore, the patient should avoid alcohol to help manage their condition.
Choice B rationale
Eating six small meals each day can help manage gastritis by preventing the stomach from being empty for too long, which can increase stomach acid and irritate the stomach lining. This statement does not require correction.
Choice C rationale
Antacids can help manage the pain associated with gastritis by neutralizing stomach acid. This statement does not require correction.
Choice D rationale
Spicy foods can irritate the stomach lining and exacerbate the symptoms of gastritis. Avoiding spicy foods can help manage the condition. This statement does not require correction.
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