The nurse is preparing for a home visit to a patient discharged following a total gastrectomy for treatment of gastric cancer. The nurse anticipates that the plan of care is most likely to include which of the following nursing actions?
A) Encouraging the patient to eat small, high-fiber meals at frequent intervals
B) Gastrointestinal decompression by the nasogastric tube
C) Periodic assessment for esophageal distension
D) Monthly administration of injections of vitamin B
Ans: D
Feedback: Since vitamin B is absorbed in the stomach, the patient requires vitamin B replacement to prevent pernicious anemia. The patient who has had a total gastrectomy is likely to require parenteral nutrition. Since the stomach is absent, a nasogastric tube would not be indicated. Since there is no stomach to act as a reservoir, and fluids and nutrients are passing directly into the jejunum, distension is unlikely.
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tablet. Fill in the blank(s) with correct word