Peri-operative Care for Upper GI Cancer

You have completed your preoperative teaching to your patient who will be having surgery the following day. Which statements below indicates that he / she need additional teaching?

• “I should take my herbs supplement before 10pm tonight.”

• “I will wear my lenses so that I can see clearly.”

• “I will have a good shower tomorrow morning.”

• “I should skip breakfast tomorrow morning.”

During your pre-operative assessment, you find out that your patient have this condition that may increase his / her risk of perioperative complications.

• Obesity

• Malnutrition

• Emotionally stable

• Ex-smoker for 5 years

When taking care of a post gastric resection patient, you should take precaution when patient complain of

• sweating and light headedness.

• abdominal cramping.

• nausea or vomiting.

• constipation.

Pre-operative counselling is important to prepare patient psychologically and to optimize the healing process. Pre-operative counselling may include

• nutritional support

• self-care capabilities

• the important of early ambulation

• complications that may occur after surgery

You are taking care of a post esophagectomy patient for esophageal cancer. Your immediate nursing care should include

• position patient semi Fowler’s

• provide pain relief as prescribe

• reposition the nasogastric tube if drainage stopped or decreased

• notify the doctor immediately about  bloody nasogastric tube drainage

A patient diagnosed with gastric cancer stage II was plan for partial gastrectomy. Your health education to him to overcome post gastrectomy complication are

• avoid fruit and vegetables

• take vitamin B12 supplement

• reduce sugar and carbohydrate intake

• modified meal patterns into smaller frequent meal

Care for the postoperative client after gastric resection should focus on

• skin care

• bowel care

• wound care

• nutritional needs

During the pre-operative counselling for total gastrectomy patient, you need to include

• stoma care

• diet modification

• surgical procedure involve

• important of early mobilisation

Dietary instructions for a patient experiencing dumping syndrome after Billorth II procedure would be

• avoid fat intake

• omit fluids with meals

• increase carbohydrate intake

• combine protein with vegetable