which of the following would be an expected nutritional outcome for a client who has undergone a subtotal gastrectomy for cancer

ATI RN

ATI Gastrointestinal System

1. Which of the following would be an expected nutritional outcome for a client who has undergone a subtotal gastrectomy for cancer?

A. Regain weight loss within 1 month after surgery
B. Resume normal dietary intake of three meals per day
C. Control nausea and vomiting through regular use of antiemetics
D. Achieve optimal nutritional status through oral or parenteral feedings

Correct answer: D

Rationale: Achieving optimal nutritional status through oral or parenteral feedings is an expected nutritional outcome for a client who has undergone a subtotal gastrectomy for cancer.

2. A nurse is giving dietary instructions to a client who has a new colostomy. The nurse encourages the client to eat foods representing which of the following diets for the first 4 to 6 weeks postoperatively?

A. High-protein
B. High-carbohydrate
C. Low-calorie
D. Low-residue

Correct answer: D

Rationale: For the first 4 to 6 weeks following colostomy formation, the client should take in a low-residue diet. Following this period, the client should eat a high-carbohydrate, high-protein diet. The nurse also instructs the client to add new foods, one at a time, to determine tolerance to that food.

3. Which of the following tests can be used to diagnose ulcers?

A. Abdominal x-ray
B. Barium swallow
C. Computed tomography (CT) scan
D. Esophagogastroduodenoscopy (EGD)

Correct answer: D

Rationale: Esophagogastroduodenoscopy (EGD) is a diagnostic test that involves visualizing the esophagus, stomach, and duodenum to diagnose ulcers.

4. A client with gastric cancer may exhibit which of the following symptoms?

A. Abdominal cramping
B. Constant hunger
C. Feeling of fullness
D. Weight gain

Correct answer: C

Rationale: Clients with gastric cancer may experience a feeling of fullness due to the presence of the tumor.

5. When assessing the client with celiac disease, the nurse can expect to find which of the following?

A. Steatorrhea
B. Jaundiced sclerae
C. Clay-colored stools
D. Widened pulse pressure

Correct answer: A

Rationale: Because celiac disease destroys the absorbing surface of the intestine, fat isn't absorbed but is passed in the stool. Steatorrhea is bulky, fatty stools that have a foul odor. Jaundiced sclerae result from elevated bilirubin levels. Clay-colored stools are seen with biliary disease when bile flow is blocked. Celiac disease doesn't cause a widened pulse pressure.