The nurse anticipates that the patient who has had a subtotal gastrectomy will need supplemental:
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.
ANS: B
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.
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