A patient recovering from a splenectomy asks the nurse, "What's going to happen to me now that my spleen is gone?" What is an appropriate nursing response?

1. "You will have to avoid getting colds and flu."
2. "Your stomach will assume its functions."
3. "Your liver and bone marrow will assume its functions."
4. "A spleen is not really necessary."


Correct Answer: 3

The spleen is not essential for life. If it is removed because of disease or trauma, the liver and the bone marrow assume its functions. The patient will still be able to recover from colds and the flu. The stomach does not assume the spleen's functions. Telling the patient the spleen is not necessary, although not inaccurate, does not adequately address the question.

Nursing

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