After vertical banded gastroplasty, a 42-year-old male client returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a client-controlled analgesia (PCA) machine for pain control.
Which nursing action should be included in the postoperative plan of care?

Offer cups of fruit juices at frequent intervals.

Irrigate and reposition the NGT frequently.

Remind the client that PCA use may slow the return of bowel function.

Have the client splint the surgical site while deep breathing and coughing.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Offering cups of fruit juices at frequent intervals is not recommended immediately postoperatively due to the risk of nausea and vomiting. The client should start with clear liquids and gradually progress.

Choice B rationale

Irrigating and repositioning the nasogastric tube frequently is not recommended as it can cause discomfort and dislodge the tube. Proper fixation and periodic checking are preferred.

Choice C rationale

Reminding the client that PCA use may slow the return of bowel function is not accurate. While opioids can slow bowel motility, PCA use is for pain management and should be monitored, not discouraged.

Choice D rationale

Having the client splint the surgical site while deep breathing and coughing helps prevent atelectasis and promotes lung expansion. It also reduces pain and protects the surgical incision during respiratory exercises. .

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Correct Answer is C

Explanation

Choice A rationale

Omeprazole is not an antibiotic; it is a proton pump inhibitor (PPI). It reduces stomach acid production, which helps in managing peptic ulcer disease but does not directly treat H. pylori infection. Antibiotics are needed to treat H. pylori.

Choice B rationale

Omeprazole should not be crushed as it is a delayed-release medication designed to protect it from stomach acid. Crushing it would destroy this protective mechanism, reducing its effectiveness.

Choice C rationale

Omeprazole is most effective when taken 30 minutes before meals. This timing allows the medication to inhibit the proton pumps that produce stomach acid, providing better control of acid secretion.

Choice D rationale

Treatment with proton pump inhibitors for peptic ulcer disease may last from a few weeks to several months, depending on the severity of the condition and the individual response to treatment. It is not typically a fixed 3 to 6 months duration.

A. Explain that the medication may cause bruising. B. Ensure the client drinks at least 2000 ml of water daily. C. Administer the medication once a day before breakfast. D. Assess the client's stool for steatorrhea and mucus.

Correct Answer is B

Explanation

Choice A rationale

Bruising is not a common side effect of sulfasalazine. Explaining the medication's potential side effects is important but unrelated to the specific administration intervention.

Choice B rationale

Ensuring the client drinks at least 2000 ml of water daily is crucial when taking sulfasalazine. This medication can cause crystalluria and kidney stones if adequate hydration is not maintained.

Choice C rationale

Sulfasalazine is typically administered multiple times a day with food to decrease gastrointestinal upset, not once a day before breakfast.

Choice D rationale

Assessing the client's stool for steatorrhea and mucus is more relevant for evaluating gastrointestinal conditions rather than the direct administration of sulfasalazine.

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After vertical banded gastroplasty, a 42-year-old male client returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a client-controlled analgesia (PCA) machine for pain control. Which nursing action should be included in the postoperative plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a prescribed dose of omeprazole to a client with peptic ulcer disease. What does the nurse need to remember when administering this medication?

Correct Answer is C

Explanation

The client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?

Correct Answer is B

Explanation

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After vertical banded gastroplasty, a 42-year-old male client returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a client-controlled analgesia (PCA) machine for pain control. Which nursing action should be included in the postoperative plan of care?

Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

A client is receiving Total Parenteral Nutrition (TPN) for severe malnutrition. Which laboratory result provides evidence supporting TPN effectiveness?

After vertical banded gastroplasty, a 42-year-old male client returns to the surgical nursing unit with a nasogastric tube to low, intermittent suction and a client-controlled analgesia (PCA) machine for pain control.
Which nursing action should be included in the postoperative plan of care?