A Client Is Scheduled for a Total Gastrectomy for Gastric

question 23

Multiple Choice

A client is scheduled for a total gastrectomy for gastric cancer.What preoperative laboratory result should the nurse report to the surgeon immediately?

• A) Albumin: 2.1 g/dL
• B) Hematocrit: 28%
• C) Hemoglobin: 8.1 mg/dL
• D) International normalized ratio (INR): 4.2

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Definitions:

Fixation

In psychoanalytic theory, an obsessive focus or attachment to a stage of development, object, or person.

Defense Mechanism

Psychological strategies brought into play by individuals to protect themselves from unacceptable thoughts or feelings.

Rationalization

A defense mechanism in which controversial behaviors or feelings are justified and explained in a seemingly rational or logical manner to avoid the true explanation.

Projection

An ego defense mechanism whereby individuals attribute to other people characteristics or impulses they do not wish to acknowledge in themselves.