A client has undergone a total gastrectomy for refractory ulcers. The nurse would explain the need for lifelong treatment with which of the following?
A) Vitamin B12 replacement
B) Combination antibiotic therapy
C) Subcutaneous insulin therapy
D) Antiemetics such as ondansetron
A
Feedback:
If a total gastrectomy (removal of the stomach) is performed, the client receives vitamin B12 injections or intranasal vitamin B12 for life because, without the stomach, the intrinsic factor necessary for absorption of vitamin B12 no longer is produced. However, B12 therapy usually is not necessary for 1 or 2 years after surgery because the body uses very small amounts of this vitamin and body reserves usually are sufficient for several years. Combination antibiotic therapy is used to treat ulcers due to H. pylori. Subcutaneous insulin and antiemetics are not typically used.
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A child, aged 11 years, stays home from school to care for his siblings while his mother works
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A patient exhibiting an altered level of consciousness (LOC) due to blunt-force trauma to the head is admitted to the ED. The physician determines the patient's injury is causing increased intracranial pressure (ICP)
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A nursing instructor is teaching about suicide in the elderly population. Which information should the instructor include?
A. Elderly people use less lethal means to commit suicide. B. Although the elderly make up less than 13% of the population, they account for 16% of all suicides. C. Suicide is the second leading cause of death among the elderly. D. It is normal for elderly individuals to express a desire to die, because they have come to terms with their mortality.