PN Adult Medical Surgical Practice Exam

Which of the following actions can help a client who just underwent a gastrectomy avoid complications?

1. Encouraging small, frequent meals.

2. Restricting all fluid intake during meals.

3. Using high-fiber foods to enhance digestion.

4. Reducing protein intake to balance meals.

The correct answer is: Encouraging small, frequent meals.

Encouraging small, frequent meals is an essential strategy for clients who have undergone a gastrectomy to help them avoid complications. After the surgical removal of part or all of the stomach, the client’s digestion and absorption of nutrients can be significantly altered. Smaller, more frequent meals can help manage the reduced gastric capacity and minimize discomfort, as they are easier for the body to process. This approach can also help stabilize blood sugar levels and reduce the risk of dumping syndrome, which can occur when large quantities of food enter the small intestine too quickly. In contrast, the other options may not support optimal recovery. For instance, restricting all fluid intake during meals can lead to dehydration and hinder digestion, as adequate fluid intake is important for processing food. High-fiber foods might increase the risk of gastrointestinal discomfort and obstruction in a post-gastrectomy patient, as the digestive system is still adjusting. Finally, reducing protein intake can compromise healing and overall nutritional status, making it crucial for patients to maintain an appropriate level of protein to support recovery and tissue repair. Therefore, the emphasis on small, frequent meals aligns with best practices for post-gastrectomy care.