A client has undergone a total gastrectomy for refractory ulcers. The nurse would explain the need for lifelong treatment with which of the following?
A) Vitamin B12replacement
B) Combination antibiotic therapy
C) Subcutaneous insulin therapy
D) Antiemetics such as odansetron

Question

Quizplus · Accepted Answer

Total gastrectomy results in the removal of the cells that produce intrinsic factor, which is essential for the absorption of vitamin B12. Therefore, lifelong vitamin B12 replacement is necessary. Combination antibiotic therapy, subcutaneous insulin therapy, and antiemetics may not necessarily be required for all clients who have undergone total gastrectomy.

A Client Has Undergone a Total Gastrectomy for Refractory Ulcers