For a client who recently had a partial gastrectomy, which medication should the nurse anticipate will be ordered?

In the case of a client who has recently undergone a partial gastrectomy, it is critical to monitor and manage potential nutritional deficiencies due to changes in the digestive system. One of the most significant concerns post-surgery is the potential for vitamin B12 deficiency. This is primarily because the stomach plays a key role in the absorption of vitamin B12, and with a partial gastrectomy, absorption may be compromised.

Vitamin B12 is essential for red blood cell production, neurological function, and DNA synthesis. The surgical alteration can lead to decreased secretion of intrinsic factor, a protein necessary for the absorption of vitamin B12 in the intestines. As a result, individuals may need vitamin B12 supplementation to prevent anemia and neurological issues.

The other medications listed have specific uses, but they do not directly address the nutritional deficiency that can arise from the surgical procedure. Metoclopramide is primarily used to manage nausea and vomiting. Sucralfate is a medication for gastric ulcers, providing a protective barrier over the stomach lining. Hydroxyzine is an antihistamine used for anxiety and nausea, but it does not relate to the specific needs of a client post-gastrectomy.

Thus, anticipating a prescription for vitamin B12 is prudent in