A Client Has Had A Total Gastrectomy. What Should The Nurse Include In The Discharge Teaching?

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A Client Has Had A Total Gastrectomy. What Should The Nurse Include In The Discharge Teaching?

1 Daily use of a stool softener. 2 Injections of vitamin B12 for life. 3 Monthly injections of iron dextran. 4 Replacement of pancreatic enzymes.
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2 Injections of vitamin B12 for life. Intrinsic factor is lost with removal of the stomach, and vitamin B12 is needed to maintain the hemoglobin level and prevent pernicious anemia. Adequate diet, fluid intake, and exercise should prevent constipation. Iron deficiency anemia is not expected. Secretion of pancreatic enzymes should not be affected because this surgery does not alter this function.

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