A client is recovering from a gastrectomy. Which information should the nurse include when providing discharge teaching to this client?
a. There is risk of pernicious anemia so regular vitamin B12 injections will be needed
b. The risk of dehydration can be reduced with vitamin C supplements along with plenty of water
c. The risk of skin changes can be reduced with vitamin E supplements to prevent damage from free radicals
d. There is a risk for generalized vitamin deficiency so it is important to take a daily vitamin supplement in the morning to promote absorption
a. There is risk of pernicious anemia so regular vitamin B12 injections will be needed
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 lifelong regular injections of vitamin B12. 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.
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A patient has a pressure ulcer on the ear where an oxygen cannula has been in place. The ulcer is shallow and long and has a black wound bed. How would the nurse stage this ulcer?
1. Stage II 2. Stage III 3. Stage IV 4. Unstageable
The client has metastatic bone pain from cancer with nausea and vomiting after receiving opioid analgesia by IV. Which does the nurse implement to manage the client's pain effectively without nausea and vomiting?
1. Dispense the opioid 30 minutes after providing food. 2. Combine the opioid with an antiemetic or antihistamine. 3. Collaborate with provider for around-the-clock analgesia. 4. Replace analgesic with nonsteroidal anti-inflammatory agent.