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Chapter 39 of the study material Exam Success Simplified: Comprehensive Guides for Testing Exams
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---5May 20242023/2024A
- 3. When caring for a patient with a history of a total gastrectomy, the nurse will monitor 
for 
a. constipation. 
b. dehydration. 
c. elevated total serum cholesterol. 
d. cobalamin (vitamin B12) deficiency 
D. The patient with a total gastrectomy does not secrete intrinsic factor, which is needed 
for cobalamin (vitamin B12) 
absorption. Because the stomach absorbs only small amounts of water and nutrients, 
the patient is not at higher risk for dehydration, 
elevated cholesterol, or constipat...
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