Gastrointestinal System Disorders Q 206 - Gyan Darpan : Learning Portal
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Tuesday 12 April 2022

Gastrointestinal System Disorders Q 206

A client with gastric cancer can expect to have surgery for resection. Which of the following should be the nursing management priority for the preoperative client with gastric cancer?
    A. Discharge planning
    B. Correction of nutritional deficits
    C. Prevention of DVT
    D. Instruction regarding radiation treatment

Correct Answer: B. Correction of nutritional deficits

Client’s with gastric cancer commonly have nutritional deficits and may be cachectic. For patients undergoing surgery, the preoperative nutritional condition directly affects postoperative prognosis, overall survival, and disease-specific survival. The goal of nutritional therapy is to improve the nutritional status, metabolism, adherence to antitumor therapies, quality of life, and course of the disease.

Option A: Discharge planning before surgery is important, but correcting the nutrition deficit is a higher priority. Provide accurate, consistent information regarding diagnosis and prognosis. Avoid arguing about the patient’s perceptions of the situation.
Option C: Prevention of DVT also isn’t a high priority to surgery, though it assumes greater importance after surgery. The link between thromboembolism and cancer has been recognized for over 100 years. Venous thromboembolism (VTE) is associated with considerable morbidity in patients with cancer, with emerging research also indicating a detrimental effect on survival.
Option D: At present, radiation therapy hasn’t been proven effective for gastric cancer, and teaching about it preoperatively wouldn’t be appropriate. People with stomach cancer usually receive external-beam radiation therapy, which is radiation given from a machine outside the body. Radiation therapy may be used before surgery to shrink the size of the tumor or after surgery to destroy any remaining cancer cells.

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