ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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The nurse is caring for a client following a Billroth II procedure. Which operative order should the nurse question and verify?

Leg exercises
Early ambulation
Irrigating the nasogastric tube
Coughing and deep-breathing exercises

Explanation

Answer - C - In Billroth II procedure, the proximal remnant of the stomach is anastomosed to the proximal jejunum. Patency of the nasogastric tube is critical for preventing the retention of gastric secretions. The nurse should never irrigate or reposition the gastric tube after gastric surgery unless specifically ordered by the physician. In this situation, the nurse should clarify the order.

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