A client has had a gastrectomy. The nurse will include which of the following in discharge teaching?
1. There is a risk for generalized vitamin deficiency so it is important to take a daily vitamin supplement in the morning to promote absorption
2. The risk of dehydration can be reduced with vitamin C supplements along with plenty of water
3. The risk of skin changes can be reduced with vitamin E supplements to prevent damage from free radicals
4. There is risk of pernicious anemia so regular vitamin B12 injections will be needed
4
Rationale: The client who has had a gastrectomy is at risk for pernicious anemia, a condition in which there is a deficiency of the intrinsic factor responsible for absorption of vitamin B12. This client will need regular injections of vitamin B12 for as long as he or she lives. A vitamin supplement will not be adequate to meet the need for vitamin B12. Vitamins C and E can easily be obtained from the diet. Dehydration and skin changes are not associated with clients who have had a gastrectomy.
You might also like to view...
A nurse is investigating the overall health status of a population. Which of the following indica-tors would most likely be used by the nurse?
a. Life expectancy b. Health status c. Morbidity rate d. Prevalence
The nurse is caring for an elderly client who complains of vision problems. The client complains of dry eyes and keeps rubbing them to stimulate tearing for moisture. The client has glasses but keeps squinting and trying to focus
In addition, the client is thin and has little appetite. Which vitamin does the nurse suspect might be deficient for this client? 1. Vitamin A 2. Vitamin B-6 3. Vitamin C 4. Vitamin D
The nurse determines that the client had a cardiac arrest while ambulating in the hall. Which should the nurse use to position the client properly during CPR? (Select all that apply.)
1. Head tilt 2. Logrolling 3. Jaw thrust 4. Adequate padding 5. Semi-Fowler's position 6. Right side-lying position
What is an appropriate endotracheal tube size for a newborn weighing less than 1000 g?
A) 3.5 mm B) 2.5 mm C) 3.0 mm D) 2.0 mm