The Home Health Nurse is preparing for an initial home visit to a patient discharged following a total gastrectomy for treatment of gastric cancer. What would the nurse anticipate that the plan of care is most likely to include?
A) Encouraging the patient to eat small, high-fiber meals at frequent intervals
B) Gastrointestinal decompression by 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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__________ is lateral curvature of the spine
Fill in the blank(s) with correct word