Summary NR 324 Exam 3 Concepts Review.pdf

1. Gastrectomy and Pernicious Anemia (Vit. B 12) Relationship a. The patient with a total gastrectomy does not secrete intrinsic factor, which is needed for cobalamin (vitamin B12) absorption 2. Endoscopy procedure-definition, nursing implications/complications a. A temperature elevation may indicate that a perforation has occurred after an endoscopy b. Endoscopy- vomiting “coffee-ground” 3. UAP delegation 4. N/V causes and treatments a. Nausea is associated with severe pain; it is likely that it is precipitated by stress and pain. i. The best treatment will be to provide adequate pain medication before dressing changes 5. Advancing diet after NPO-clear, full, regular diet (foods included) a. Clear cool liquids are usually the first foods started after a patient has been nauseated 6. Reducing Risk of Oral Cancer a. Avoid use of cigarettes and smokeless tobacco.