Nokea
The nurse anticipates that the patient who has had a subtotal gastrectomy will need which type of supplement?
- 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.
Correct Answer: B
Rationale: 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.
You may also like to solve these questions
A patient with a large inguinal hernia has abdominal distention and inguinal pain. The nurse recognizes these as indicators of which type of hernia?
- A. Strangulated
- B. Hiatal
- C. Ventral
- D. Umbilical
Correct Answer: A
Rationale: The hernia is strangulated when the blood supply and intestinal flow are occluded, which results in pain and distention.
Bowel sound assessment on a patient with an early bowel obstruction who has distention, nausea, and visible peristaltic waves will demonstrate which type of bowel sound?
- A. loud and clearly audible.
- B. high pitched.
- C. hyperactive.
- D. absent.
Correct Answer: B
Rationale: Because there are visible peristaltic waves, there will be bowel sounds that will be faint and high pitched.
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
Correct Answer: D
Rationale: A significant subjective data assessment for a peptic ulcer is the patient report that pain is associated with eating. With duodenal ulcers the patient often complains of pain 1 to 2 hours after eating.
Which will the nurse include when reinforcing the teaching plan for a patient with a hiatal hernia to reduce the frequency of heartburn?
- A. Drinking 10 oz of milk with every meal
- B. Lie down after eating
- C. Panting through mouth when symptoms begin
- D. Eating small meals
Correct Answer: D
Rationale: Taking care not to overeat is the best defense against pyrosis (heartburn) for the person with a hiatal hernia.
Because bowel contents from an ileostomy are virtually liquid, which does the nurse expect to see in the plan of care?
- A. Evaluation and assessment of dietary intake of fiber
- B. Evaluation and assessment of patient cleanliness
- C. Evaluation and assessment of peristomal skin integrity
- D. Evaluation and assessment of the adequacy of the collection device
Correct Answer: C
Rationale: The nurse should assess the peristomal skin for impairment of integrity. The fecal material is liquid and has a potential for severe skin excoriation from the digestive enzymes.