Discharge teaching for the client who has a total gastrectomy should include which of the following?

Question

Options

• ANeed for the client to increase fluid intake to 3000 mL/day
• BFollow-up visits every 3 weeks for the first 6 months
• CB12 injections needed for the rest of the client's life
• DNeed to eat three full meals with plenty of fiber per day

• A
  3% (1)
• B
  16% (6)
• C
  76% (29)
• D
  5% (2)

Explanation

(A) There will be no need to increase fluid intake excessively, because dumping syndrome could present a problem. (B) Followup visits every 3 weeks are not a standard recommendation. Follow-up visits will be highly individualized. (C) With removal of the stomach, intrinsic factor will no longer be produced. Intrinsic factor is necessary for vitamin B12 absorption. Parenteral injections of B12 will be needed on a monthly basis for the rest of the person's life. (D) Smaller, more frequent meals, rather than large, bulky meals, are recommended to prevent problems with dumping syndrome.

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