Free NCLEX-PN Practice Questions Practice Question
The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.
Correct Answer: A,C
Rationale: After a total gastrectomy, the body loses the stomach's ability to produce intrinsic factor, leading to pernicious anemia due to vitamin B12 deficiency (Option A). Additionally, the rapid transit of food into the intestines can cause dumping syndrome (Option C), characterized by gastrointestinal symptoms after eating.
Options B and E are not directly related to the surgery; ulcerative colitis is a chronic inflammatory bowel disease, and hiatal hernia typically involves the stomach, which is no longer present. Stress ulcers (Option D) may occur but are less specific to this procedure than the other conditions. Thrombophlebitis (Option F) is a potential complication from immobility, not directly linked to the gastrectomy itself.
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