The nurse is caring for a client who has just arrived on the postoperative unit after having a laparoscopic esophagectomy for treatment of esophageal cancer. Which of the following nursing actions should be included in the postoperative plan of care?
A)Elevate the head of the bed to at least 30 degrees.
B)Reposition the nasogastric (NG) tube if drainage stops or decreases.
C)Notify the doctor immediately about bloody NG drainage.
D)Start oral fluids when the client has active bowel sounds.

Question

Quizplus · Accepted Answer

Elevation of the head of the bed decreases the risk for reflux and aspiration of gastric secretions. The client should be in the Fowler's or semi-Fowler's position. The NG tube should not be repositioned without consulting with the health care provider. Bloody NG drainage is expected for the first 8-12 hours. A swallowing study is needed before oral fluids are started.

The Nurse Is Caring for a Client Who Has Just