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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
It is recommended to refrain from eating raw fruits and vegetables before a fecal occult blood test, as they can cause a false-positive result.
Choice B rationale
Avoiding iron supplements before testing is also recommended, as they can interfere with the test results.
Choice C rationale
It is advised to avoid red meats before the test, as they can cause a false-positive result.
Choice D rationale
Continuing a low-dose aspirin therapy regimen may cause a false-positive result on a fecal occult blood test. Aspirin can cause gastrointestinal bleeding, which could be detected by the test. Bile ductBile duct Explore
Correct Answer is A
Explanation
Choice A rationale
Increasing fluid and fiber intake is one of the first steps in managing constipation in elderly patients. Fiber adds bulk to the stool and makes it easier to pass, while fluids help keep the stool soft.
Choice B rationale
While avoiding gas-producing foods may help with some digestive issues, it’s not specifically helpful for managing constipation.
Choice C rationale
While a stool softener can help relieve constipation, it’s usually considered after dietary changes have been tried without success.
Choice D rationale
Physical activity can help stimulate bowel movements and is often recommended as part of constipation management. However, it’s not the first step, and its effectiveness can depend on the individual’s overall health and mobility.
Question 31.
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