A nurse is providing care for a patient who is postoperative day 2 following gastric surgery.
The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.

Chronic gastritis

Atelectasis

Pneumonia

Malignant hyperthermia

Metabolic imbalances

Answer and Explanation

Correct Answer : B,C,E

Choice A reason:

Chronic gastritis is not a common immediate postoperative complication of gastric surgery. It is more related to long-term gastric health.

Choice B reason:

Correct. Atelectasis, or partial lung collapse, is a potential complication postoperatively, especially in abdominal surgery. The nurse should assess for signs such as decreased breath sounds and reduced oxygen saturation.

Choice C reason:

Correct. Pneumonia is a potential complication due to reduced lung function and shallow breathing after surgery. The nurse should monitor for signs like fever, increased respiratory rate, and abnormal breath sounds.

Choice D reason:

Malignant hyperthermia is a rare complication related to certain types of anesthesia agents. It is not a common complication after gastric surgery

Choice E reason:

Correct. Metabolic imbalances, such as electrolyte disturbances or changes in blood glucose levels, can occur after gastric surgery. The nurse should monitor for signs like weakness, confusion, and abnormal laboratory values.

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Correct Answer is ["1.9"]

Explanation

Calculation:

Dosage ordered = 7.6 mg

Drug concentration = 4 mg/mL

7.6 mg / 4 mg/mL = 1.9 mL

A. Keep the patient in a low Fowler's position when at rest. B. Connect the tube to continuous wall suction when not in use. C. Confirm placement of the tube prior to each medication administration. D. Have the patient sip cool water to stimulate saliva production.

Correct Answer is C

Explanation

Choice A reason:

Keeping the patient in a low Fowler's position may not directly address the management of the NG tube and dysphagia.

Choice B reason:

Connecting the tube to continuous wall suction when not in use is not a standard intervention for NG tube feeding.

Choice C reason:

This statement is correct. Confirming placement of the tube prior to each medication

administration is crucial to ensure safe and effective delivery of medications and nutrition.

Choice D reason:

Having the patient sip cool water, while a general recommendation for some patients, does not specifically address the care of the NG tube.

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A nurse is providing care for a patient who is postoperative day 2 following gastric surgery. The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child is to receive dexamethasone (Decadron) intravenously at the ordered dosage of 7.6 mg. The drug concentration in the vial is 4 mg/mL. The nurse should administer how many ml?

Correct Answer is ["1.9"]

Explanation

A patient's new onset of dysphagia has required insertion of an NG tube for feeding; the nurse has modified the patient's care plan accordingly. What intervention should the nurse include in the patient's plan of care?

Correct Answer is C

Explanation

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A nurse is providing care for a patient who is postoperative day 2 following gastric surgery.
The nurse's assessment should be planned in light of the possibility of what potential complications? Select all that apply.