Care for the postoperative client after gastric resection should focus on which of the following problems?
A. Body image
B. Nutritional needs
C. Skincare
D. Spiritual needs
Correct Answer: B. Nutritional needs
After gastric resection, a client may require total parenteral nutrition or jejunostomy tube feedings to maintain adequate nutritional status. This provides rest for the GI tract during the acute postoperative phase until the return of normal function. The physician or surgeon may need to reposition the tube endoscopically to prevent injury to the operative area.
Option A: Suggest the patient weigh himself on a regular basis. Change in dietary pattern, early satiety, and efforts to avoid dumping syndrome may limit intake, causing weight loss.
Option C: Identify signs and symptoms requiring medical evaluation such as persistent nausea and vomiting or abdominal fullness; weight loss; diarrhea; foul-smelling fatty or tarry stools; bloody or coffee-ground vomitus or presence of bile, fever. Instruct the patient to report changes in pain characteristics.
Option D: Review medication purpose, dosage, and schedule, and possible side effects. Understanding rationale and therapeutic needs can reduce the risk of complications ( anticholinergics or pectin powder may be given to reduce the incidence of dumping syndrome; antacids and histamine antagonists reduce gastric irritation).
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