Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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A client underwent Billroth surgery for gastric ulcer. Post-operatively, the drainage from his NGT is thick and the volume of secretions has dramatically reduced in the last 2 hours and the client feels like vomiting. The most appropriate nursing action is to:
  1. Reposition the NGT by advancing it gently NSS
  2. Notify the MD of your findings
  3. Irrigate the NGT with 50 cc of sterile
  4. Discontinue the low-intermittent suction
Explanation
Answer - B - Notify the MD of your findings. The client’s feeling of vomiting and the reduction in the volume of NGT drainage that is thick are signs of possible abdominal distention caused by obstruction of the NGT. This should be reported immediately to the MD to prevent tension and rupture on the site of anastomosis caused by gastric distention.
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