问题 单项选择题

A client with cancer undergoes a total gastrectomy. Several hours after surgery, the nurse notes that the client's nasogastric (NG) tube has stopped draining. How should the nurse respond

A.Notify the physician.

B.Reposition the NG tube.

C.Irrigate the NG tube.

D.Increase the suction level.

答案

参考答案:A

解析:An NG tube that fails to drain during the postoperative period after gastrectomy should be reported to the physician immediately. The tube may be occluded, which could increase pressure on the suture line because fluid isn't draining adequately. Repositioning or irrigating the tube in a client who has bad gastric surgery can disrupt the anastamosis. Increasing the level of suction may cause trauma to GI mucosa or the suture line.

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